Active NPI
Christopher Adam Terrell, PT
- Physical Therapist
- Simpsonville, SC
National Provider Identifier
1992221071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4862
- Practice address
- 425 River Summit Dr
Simpsonville, SC 29681-6566 - Phone
- (864) 380-3341
- NPI assigned
- Aug 21, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4862 | SC | Primary |
Addresses
Primary practice location
425 River Summit Dr
Simpsonville, SC 29681-6566
Mailing address
425 River Summit Dr
Simpsonville, SC 29681-6566
Phone (864) 380-3341
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4862 | SC | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1992221071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 RIVER SUMMIT DR",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296816566",
"telephone_number": "864-380-3341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 RIVER SUMMIT DR",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296816566",
"telephone_number": "864-380-3341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRELL",
"first_name": "CHRISTOPHER",
"middle_name": "ADAM",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "4862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Simpsonville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.