Organization Active NPI

Finley Physical Therapy & Sports Medicine PA

  • Physical Therapist
  • Spartanburg, SC
National Provider Identifier
1912063967
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3564 Issued in SC
Legal business name
FINLEY PHYSICAL THERAPY & SPORTS MEDICINE PA
Practice address
1420 Skylyn Drive
Spartanburg, SC 29307-1032
Phone
(864) 342-0180
Fax
(864) 342-0183
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Authorized official

Name
Mr. Kenneth H Finley, PT OCS MTC CSCSNPI 1831255884
Title
Owner
Phone
(864) 342-0180

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 3564 SC Primary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 5102 SC

Addresses

Primary practice location

1420 Skylyn Drive
Spartanburg, SC 29307-1032

Mailing address

1420 Skylyn Drive
Spartanburg, SC 29307-1032
Phone (864) 342-0180

Other identifiers 1

IdentifierTypeStateIssuer
GP3138MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051004000550 SC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5395770804 Receives reassigned benefits from 1 practitioner
Practice locations: Spartanburg, SC

National Provider Directory

National Provider Directory

Locations

1420 Skylyn Dr
Spartanburg, SC 29307
Phone (864) 342-0180

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1912063967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 SKYLYN DRIVE",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071032",
            "telephone_number": "864-342-0180",
            "fax_number": "864-342-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 SKYLYN DRIVE",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071032",
            "telephone_number": "864-342-0180",
            "fax_number": "864-342-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FINLEY PHYSICAL THERAPY & SPORTS MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "FINLEY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-342-0180",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT OCS MTC CSCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "3564",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5102",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3138",
            "state": "SC"
        }
    ],
    "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 16, 2013; 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.