NPIMap

Organization Active NPI

Caresouth Rehab

  • Physical Therapist
  • Greenville, SC
National Provider Identifier
1821366659
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2761 Issued in SC
Legal business name
CARESOUTH REHAB
Practice address
11 Easley Bridge Rd
Greenville, SC 29611-5110
Phone
(864) 907-5329
Fax
(864) 292-5338
NPI assigned
Dec 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ahmed M Abdeladl, DPT
Title
DPT
Phone
(864) 907-5329

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 2761 SC Primary

Addresses

Primary practice location

11 Easley Bridge Rd
Greenville, SC 29611-5110

Mailing address

11 Easley Bridge Rd
Greenville, SC 29611-5110
Phone (864) 907-5329

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1821366659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 EASLEY BRIDGE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296115110",
            "telephone_number": "864-907-5329",
            "fax_number": "864-292-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 EASLEY BRIDGE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296115110",
            "telephone_number": "864-907-5329",
            "fax_number": "864-292-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARESOUTH REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "ABDELADL",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DPT",
        "authorized_official_telephone_number": "864-907-5329",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "2761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.