Theratage Rehab Services, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5477 Issued in SC

Legal business name

THERATAGE REHAB SERVICES, INC.

Practice address

6 Felhurst CT
Simpsonville, SC 29681-6546

Phone

(864) 567-5969

Fax

(864) 288-2277

NPI assigned

Jan 8, 2009

Last updated

Jan 8, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Richard Thomas Jeletic II, MPTNPI 1982607214

Title

Ceo

Phone

(864) 567-5969

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard T. Jeletic, MPT

  • Physical Therapist
  • Simpsonville, SC
  • NPI 1982607214
  Authorized official Same address or phone
• Melissa Price

  • Physical Therapy Assistant
  • Simpsonville, SC
  • NPI 1114462058
  NPD (past)

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1881831170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 FELHURST CT",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296816546",
            "telephone_number": "864-567-5969",
            "fax_number": "864-288-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 FELHURST CT",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296816546",
            "telephone_number": "864-567-5969",
            "fax_number": "864-288-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERATAGE REHAB SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "JELETIC",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "864-567-5969",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Renewed Outlook Foundation
• The Springs at Simpsonville
• The Tot Spot of South Carolina
• Georgea B Thekkethottiyil, DDS
• Therapy Connection
• Adrianne M Thomas
• Tonya Thomas
• Sherry Thomason
• Asiah Thompson, RDH
• Janie Venita Thompson

• Physical Therapist in Simpsonville, SC
• Providers in Simpsonville, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; 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.