Individual provider Active NPI

Brian Carl Dunbaugh, PTA

  • Physical Therapy Assistant
  • Greenville, SC
National Provider Identifier
1841998101
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
4560 Issued in SC
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

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
4560SCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Rehabilitation South Carolina, Inc. PastSince Feb 19, 2023 Accepting new patients
Matrix Rehabilitation-South Carolina, Inc. PastSince Feb 19, 2023 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.

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.

Verify at the official NPI Registry.