NPIMap

Organization Active NPI

Serenity Rehab & Wellness Center

  • Physical Therapist
  • Greenville, SC
National Provider Identifier
1992028104
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4253 Issued in SC
Legal business name
SERENITY REHAB & WELLNESS CENTER
Practice address
3795 E North St
Suite 14
Greenville, SC 29615-6200
Phone
(864) 292-0011
Fax
(864) 292-0303
NPI assigned
Mar 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

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

Authorized official

Name
Ms. Trvera L Williams
Title
Physical Therapist and Owner
Phone
(864) 292-0011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 4253 SC Primary

Addresses

Primary practice location

3795 E North St
Suite 14
Greenville, SC 29615-6200

Mailing address

3795 E North St
Suite 14
Greenville, SC 29615-6200
Phone (864) 292-0011

National Provider Directory

National Provider Directory

Locations

3795 E North St
Ste 14
Greenville, SC 29615
Phone (864) 292-0011

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": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310342400000",
    "number": "1992028104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3795 E NORTH ST",
            "address_2": "SUITE 14",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296156200",
            "telephone_number": "864-292-0011",
            "fax_number": "264-292-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3795 E NORTH ST",
            "address_2": "SUITE 14",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296156200",
            "telephone_number": "864-292-0011",
            "fax_number": "864-292-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY REHAB & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "last_updated": "2011-07-11",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TRVERA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST AND OWNER",
        "authorized_official_telephone_number": "864-292-0011",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; 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.