MAGNOLIA MEDICAL GROUP INC (NPI# 1386629558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386629558 |
| Entity Type | Organization |
| Organization Name | MAGNOLIA MEDICAL GROUP INC |
| Practice Address |
800 Pelham Rd Third Floor - Physical Therapy Department Greenville SC 29615-3300 |
| Mailing Address |
Po Box 25306 Greenville SC 29616-0306 |
| Practice Telephone | 8647523357 |
| Practice Fax Number | 6788402112 |
| Mailing Telephone | 8647523357 |
| Mailing Fax Number | 6788402112 |
| Enumeration Date | 2005-12-11 |
| Last Update Date | 2012-04-18 |
| Authorized Official Name | VICTOR M CORTINA (CFO) |
| Authorized Official Telephone | 8646215646 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| N | 235Z00000X | Speech-Language Pathologist | SC | Speech, Language and Hearing Service Providers | |
| Y | 225100000X | Physical Therapist | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP3940 | 05 |
| Street Address |
800 PELHAM RD THIRD FLOOR - PHYSICAL THERAPY DEPARTMENT |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29615-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275531626 | Shirlene Mobley Davis | Pediatrics | 800 Pelham Rd, Greenville, SC 29615-3300 | 2005-07-11 |
| 1750809612 | Marcia Frazao Luis | Nurse Practitioner | 800 Pelham Rd, Greenville, SC 29615-3300 | 2017-08-31 |
| 1457717761 | Gertrude Bassey | Nurse Practitioner | 800 Pelham Rd, Greenville, SC 29615-3300 | 2016-01-04 |
| 1992188379 | Timothy Allen Naumann | Nurse Practitioner | 800 Pelham Rd, Greenville, SC 29615-3300 | 2015-07-03 |
| 1699182568 | Visions of Greatness, Inc | Community/Behavioral Health | 800 Pelham Rd, Greenville, SC 29615-3300 | 2014-07-12 |
| 1245669464 | Veronica Schofield | Registered Nurse | 800 Pelham Rd, Greenville, SC 29615-3300 | 2013-11-07 |
| 1851693907 | Eugene Marion Golding Jr. | Pediatrics | 800 Pelham Rd, Greenville, SC 29615-3300 | 2010-11-23 |
| 1407175532 | M Evelyn Hartman | Nurse Practitioner | 800 Pelham Rd, Greenville, SC 29615-3300 | 2010-05-28 |
| 1073847513 | Hong Cong Vo | Physician Assistant | 800 Pelham Rd, Greenville, SC 29615-3300 | 2009-10-01 |
| 1568694008 | Cynthia E Taylor | Speech-Language Pathologist | 800 Pelham Rd, Greenville, SC 29615-3300 | 2009-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358051 | Adenike Orogade | Behavior Technician | 17 Caldedon Ct, Suite B, Greenville, SC 29615 | 2020-02-19 |
| 1629608369 | Jennifer Jacobsen | Behavior Technician | 17 Caldedon Court, Suite B, Greenville, SC 29615 | 2020-01-22 |
| 1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
| 1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
| 1497232565 | Jacob J Fountain | Nurse Practitioner | 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 | 2018-07-23 |
| 1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
| 1558853101 | Alexandra Michelle Taylor | Audiologist | 200 Patewood Dr Ste 400, Greenville, SC 29615 | 2018-05-30 |
| 1316466543 | Mariah Hope Mosher | Behavioral Analyst | 7 Mckenna Commons Court, Greenvilee, SC 29615 | 2017-09-19 |
| 1326400896 | Karen L Heaps | Counselor | 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 | 2016-03-24 |
| 1134589013 | Sharon Erk | Technician, Other | 2950 E.norths St, Greenville, OH 29615 | 2016-03-04 |
| Find all providers in zip 29615 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104437284 | Samantha Elizabeth Lucey | Physical Therapist | 2470 Emerald Pl Ste B, Greenville, NC 27834-5786 | 2020-08-12 |
| 1700411519 | Brooke Anna Novia | Physical Therapist | 103 N Main St Ste 201, Greenville, SC 29601-2756 | 2020-03-12 |
| 1164068979 | Madison Nichole Larimer | Physical Therapist | 535 W Butler Rd Ste A, Greenville, SC 29607-4833 | 2019-11-27 |
| 1932744117 | Melanie Amber Book | Physical Therapist | 4211 Joe Ramsey Blvd E Ste 216, Greenville, TX 75401-7848 | 2019-11-12 |
| 1780239020 | Willis Physical Therapy Group Pllc | Physical Therapist | 3800 Joe Ramsey Blvd E Ste B, Greenville, TX 75401-7778 | 2019-08-05 |
| 1346801107 | Rachel Jane Larson | Physical Therapist | 1007 Grove Rd Ste C, Greenville, SC 29605-4630 | 2019-06-24 |
| 1932762291 | Theron Ross Livingston | Physical Therapist | 27 S Pleasantburg Dr Ste 130, Greenville, SC 29607-2577 | 2019-04-22 |
| 1558835959 | Rebecca Collins Kelly | Physical Therapist | 1014 Wade Hampton Blvd Ste 6, Greenville, SC 29609-5061 | 2019-01-18 |
| 1356816748 | Cassie Morgan Ringstaff | Physical Therapist | 200 Patewood Dr # C250, Greenville, SC 29615-3593 | 2018-10-11 |
| 1598249468 | Brian Egge | Physical Therapist | 823 S Church St Apt 1232, Greenville, SC 29601-4742 | 2018-09-18 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29615 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.