Active NPI
Upstate Wellness Solutions, LLC
- Massage Therapist
- Anderson, SC
National Provider Identifier
1962265389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Massage Therapist
- Anderson, SC
- NPI 1477316883
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.