First Physical Therapy LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

FIRST PHYSICAL THERAPY LLC

Practice address

1114 Mill St
Camden, SC 29020

Phone

(803) 432-1147

Fax

(803) 432-1149

NPI assigned

Oct 21, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Brad C Roush

Title

Executive Vice President

Phone

(419) 221-6712

Specialties & licenses 1

Addresses

Other names 1

• Camden - Hand Therapy Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• First Physical Therapy LLC

  • Rehabilitation Clinic/Center
  • Camden, SC
  • NPI 1427590793

  O20051110000182

  Same enrollment
• First Physical Therapy LLC

  • Rehabilitation Clinic/Center
  • Lexington, SC
  • NPI 1679513030

  O20051110000182

  Same enrollment
• First Physical Therapy, LLC

  • Rehabilitation Clinic/Center
  • Lexington, SC
  • NPI 1295328326

  O20051110000182

  Same enrollment
• First Physical Therapy, LLC

  • Rehabilitation Clinic/Center
  • Columbia, SC
  • NPI 1497348528

  O20051110000182

  Same enrollment

Locations

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1902357205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 SHAWNEE RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458053529",
            "telephone_number": "419-221-6720",
            "fax_number": "419-222-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 MILL ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "29020",
            "telephone_number": "803-432-1147",
            "fax_number": "803-432-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "ROUSH",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "419-221-6712",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camden - Hand Therapy Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• F N McCorkle Jr., MD PA
• Dale Roberts Faulkenberry, FNP
• Chelsea Fetterhoff, ED.S., NCC
• Haley Marie Fike
• First Physical Therapy LLC
• First Smiles Dental, PC
• Victoria Charvene Fletcher-Barnes, DDS
• Maddison Flowers
• Folline Opticians Inc
• Denise Moody Folsom, PHARMD

• Rehabilitation Clinic/Center in Camden, SC
• Providers in Camden, SC by specialty
• Rehabilitation Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.