Individual provider Active NPI

Rebecca Ann Grider, PT

  • Physical Therapist
  • Spartanburg, SC
National Provider Identifier
1902942154
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6102 Issued in SC
Practice address
1075 Boiling SPGS Rd
Spartanburg, SC 29303-2248
Phone
(864) 580-2001
Fax
(864) 580-2003
NPI assigned
Jan 29, 2007
Last updated
Jan 6, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6102 SC Primary

Addresses

Primary practice location

1075 Boiling SPGS Rd
Spartanburg, SC 29303-2248

Mailing address

1075 Boiling SPGS Rd
Spartanburg, SC 29303-2248
Phone (864) 580-2001

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

Practice roles

OrganizationSpecialtyStatusNew patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince Apr 1, 2019 Accepting new patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince Apr 1, 2019 Accepting new patients
Physical Rehabilitation Group Physical Therapist Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

33299 Collection Ctr Dr
Chicago, IL 60693

9241 University Blvd
Ste B1
North Charleston, SC 29406
Phone (843) 414-1140

10040 Dorchester Rd
Ste 106107
Summerville, SC 29485
Phone (843) 875-4770

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1902942154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 BOILING SPGS RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293032248",
            "telephone_number": "864-580-2001",
            "fax_number": "864-580-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 BOILING SPGS RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293032248",
            "telephone_number": "864-580-2001",
            "fax_number": "864-580-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIDER",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "6102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.