Active NPI
Brian Carl Dunbaugh, PTA
- Physical Therapy Assistant
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 4560
- Practice address
- 319 Mills Ave
Greenville, SC 29605-4021 - Phone
- (864) 233-1153
- NPI assigned
- Feb 16, 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 Therapy Assistant | 225200000X | 4560 | SC | Primary |
Addresses
Primary practice location
319 Mills Ave
Greenville, SC 29605-4021
Mailing address
116 Roseridge Dr
Simpsonville, SC 29681-6058
Phone (864) 325-2435
Other practice location 1
712 N A St
Easley, SC 29640-2142
Phone (864) 859-4938
Other practice location 2
110 Bypass 225
Greenwood, SC 29646-1154
Phone (864) 223-0406
Other practice location 3
1403 E Greenville St Ste B
Anderson, SC 29621-2285
Phone (864) 225-7552
Other practice location 4
415 SE Main St Ste B
Simpsonville, SC 29681-2651
Phone (864) 967-3082
Other practice location 5
535 W Butler Rd Ste A
Greenville, SC 29607-4833
Phone (864) 277-2747
Other practice location 6
5000 Old Spartanburg Rd Ste A
Taylors, SC 29687-4346
Phone (864) 292-6269
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4560 | SC | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matrix Rehabilitation South Carolina, Inc. | Past | Accepting new patients | |
| Matrix Rehabilitation-South Carolina, Inc. | Past | 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 and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Greenville, SC
- NPI 1023034048
-
- Rehabilitation Clinic/Center
- Rock Hill, SC
- NPI 1093731176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676505600000",
"number": "1841998101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 ROSERIDGE DR",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296816058",
"telephone_number": "864-325-2435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 MILLS AVE",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054021",
"telephone_number": "864-233-1153"
}
],
"practiceLocations": [
{
"address_1": "712 N A St",
"address_purpose": "LOCATION",
"city": "Easley",
"state": "SC",
"postal_code": "296402142",
"country_code": "US",
"telephone_number": "864-859-4938",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "110 Bypass 225",
"address_purpose": "LOCATION",
"city": "Greenwood",
"state": "SC",
"postal_code": "296461154",
"country_code": "US",
"telephone_number": "864-223-0406",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1403 E Greenville St Ste B",
"address_purpose": "LOCATION",
"city": "Anderson",
"state": "SC",
"postal_code": "296212285",
"country_code": "US",
"telephone_number": "864-225-7552",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "415 SE Main St Ste B",
"address_purpose": "LOCATION",
"city": "Simpsonville",
"state": "SC",
"postal_code": "296812651",
"country_code": "US",
"telephone_number": "864-967-3082",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "535 W Butler Rd Ste A",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296074833",
"country_code": "US",
"telephone_number": "864-277-2747",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5000 Old Spartanburg Rd Ste A",
"address_purpose": "LOCATION",
"city": "Taylors",
"state": "SC",
"postal_code": "296874346",
"country_code": "US",
"telephone_number": "864-292-6269",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUNBAUGH",
"first_name": "BRIAN",
"middle_name": "CARL",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-16",
"last_updated": "2023-02-16",
"certification_date": "2023-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "SC",
"license": "4560",
"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 Feb 16, 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.