Organization Active NPI

Upstate Wellness Solutions, LLC

  • Massage Therapist
  • Anderson, SC
National Provider Identifier
1962265389
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
UPSTATE WELLNESS SOLUTIONS, LLC
Practice address
1214 N Main St Ste B
Anderson, SC 29621-4729
Phone
(864) 824-9022
NPI assigned
Jan 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Authorized official

Name
Robert Graham Collins, MD
Title
Medical Director
Phone
(864) 824-9022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

1214 N Main St Ste B
Anderson, SC 29621-4729

Mailing address

1214 N Main St Ste B
Anderson, SC 29621-4729
Phone (864) 824-9022

Other names 1

  • Wellspring Therapeutic Massage Doing business as

National Provider Directory

National Provider Directory

Locations

1214 N Main St
#B
Anderson, SC 29621
Phone (864) 824-9022

Practitioners & affiliated clinicians

Practitioners 1

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": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1962265389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 N MAIN ST STE B",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214729",
            "telephone_number": "864-824-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 N MAIN ST STE B",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214729",
            "telephone_number": "864-824-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE WELLNESS SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GRAHAM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "864-824-9022",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellspring Therapeutic Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.