Individual provider Active NPI

Steven Blake Vinson, DPT

  • Physical Therapist
  • Greenville, SC
National Provider Identifier
1902320005
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
16 Hyland Rd
Greenville, SC 29615-5756
Phone
(864) 627-1200
NPI assigned
Jul 31, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 8723 SC
Physical Therapist 225100000X Primary

Addresses

Primary practice location

16 Hyland Rd
Greenville, SC 29615-5756

Mailing address

PO Box 3408
Irmo, SC 29063-4015
Phone (803) 732-5887

Other practice location 1

2615 Secretariat Dr
Florence, SC 29505-8743
Phone (843) 687-0426

Other practice location 2

105 Physicians Park Dr
Clinton, SC 29325-7551
Phone (864) 938-0111

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

LicenseStateTypeSpecialty
8723SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Physio and Performance, LLC Physical Therapist Current Accepting new patients
Physical Rehabilitation Group Physical Therapist CurrentSince Dec 12, 2021 Accepting new patients
Physical Rehabilitation Group Physical Therapist Past Accepting new patients

Locations

2608 Main St
Unit A
Conway, SC 29526
Phone (803) 732-5887

Organizations & group practices 3

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": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1902320005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3408",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290634015",
            "telephone_number": "803-732-5887",
            "fax_number": "803-732-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 HYLAND RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296155756",
            "telephone_number": "864-627-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2615 Secretariat Dr",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295058743",
            "country_code": "US",
            "telephone_number": "843-687-0426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Physicians Park Dr",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "SC",
            "postal_code": "293257551",
            "country_code": "US",
            "telephone_number": "864-938-0111",
            "fax_number": "864-938-0811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINSON",
        "first_name": "STEVEN",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-31",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "8723",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "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 Jan 26, 2021; 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.