Active NPI
Jake Raymond Thein, PT
- Physical Therapist
- Greenville, SC
National Provider Identifier
1821720376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 2400 N Pleasantburg Dr Ste D
Greenville, SC 29609-2706 - Phone
- (864) 535-5002
- NPI assigned
- Jun 24, 2022
- Last updated
- Oct 11, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
2400 N Pleasantburg Dr Ste D
Greenville, SC 29609-2706
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other practice location 1
1248 S Broadway
Denver, CO 80210-1504
Phone (720) 699-9095
Other practice location 2
145 Inverness Dr E Ste 120
Englewood, CO 80112-5172
Phone (720) 324-9380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11349 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| MVMT Is Medicine LLC | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Denver, CO
- NPI 1720846611
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696982400000",
"number": "1821720376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 N PLEASANTBURG DR STE D",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296092706",
"telephone_number": "864-535-5002"
}
],
"practiceLocations": [
{
"address_1": "1248 S Broadway",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802101504",
"country_code": "US",
"telephone_number": "720-699-9095",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "145 Inverness Dr E Ste 120",
"address_purpose": "LOCATION",
"city": "Englewood",
"state": "CO",
"postal_code": "801125172",
"country_code": "US",
"telephone_number": "720-324-9380",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THEIN",
"first_name": "JAKE",
"middle_name": "RAYMOND",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-24",
"last_updated": "2023-10-11",
"certification_date": "2023-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"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 Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.