GREENVILLE PROAXIS THERAPY LLC (NPI# 1548774409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548774409 |
| Entity Type | Organization |
| Organization Name | GREENVILLE PROAXIS THERAPY LLC |
| Other Organization Name | ATI PHYSICAL THERAPY OF GREENVILLE |
| Practice Address |
333 S Pine St Spartanburg SC 29302-2622 |
| Mailing Address |
790 Remington Blvd Bolingbrook IL 60440-4909 |
| Practice Telephone | 8645157580 |
| Practice Fax Number | 8645157581 |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2017-11-30 |
| Authorized Official Name | LYNN MCGIVERN (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Telephone | 6302962222 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| ATI Physical Therapy of Greenville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174037030 | Greenville Proaxis Therapy LLC | Durable Medical Equipment & Medical Supplies | 1305 S Suber Rd, Greer, SC 29650-0944 | 2017-11-29 |
| 1528572484 | Greenville Proaxis Therapy LLC | Durable Medical Equipment & Medical Supplies | 838 Powdersville Rd, Easley, SC 29642-3703 | 2017-11-29 |
| 1932645264 | Greenville Proaxis Therapy LLC | Durable Medical Equipment & Medical Supplies | 10626 Clemson Blvd, Seneca, SC 29678-4526 | 2017-01-10 |
| 1184160400 | Greenville Proaxis Therapy LLC | Durable Medical Equipment & Medical Supplies | 210 Village Center Blvd, Ste 100, Myrtle Beach, SC 29579-6706 | 2017-01-10 |
| 1265978589 | Greenville Proaxis Therapy LLC | Durable Medical Equipment & Medical Supplies | 1520 E Greenville St, Ste. G, Anderson, SC 29621-2056 | 2017-01-10 |
| 1538552732 | Greenville Proaxis Therapy LLC | Durable Medical Equipment & Medical Supplies | 2 Doctors Dr, Greenville, SC 29605-4265 | 2015-03-12 |
| Street Address |
333 S PINE ST |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29302-2622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699771121 | Douglas John Wyland | Orthopaedic Surgery | 333 S Pine St, Spartanburg, SC 29302-2622 | 2005-06-21 |
| 1316582190 | Katharine Anne Jenkins | Physical Therapist | 333 S Pine St, Spartanburg, SC 29302-2622 | 2019-11-15 |
| 1013475607 | Haley Williams Stevenson | Physical Therapist | 333 S Pine St, Spartanburg, SC 29302-2622 | 2019-03-04 |
| 1407329303 | Beth Ellen Fiszer | Nurse Practitioner | 333 S Pine St, Spartanburg, SC 29302 | 2019-01-03 |
| 1063980100 | Shelby Lee Williams | Physical Therapist | 333 S Pine St, Spartanburg, SC 29302-2622 | 2018-11-07 |
| 1437676202 | Kristin Harter Pinheiro | Physician Assistant | 333 S Pine St, Spartanburg, SC 29302-2622 | 2017-08-23 |
| 1811422553 | Wesley Talley | Physical Therapist | 333 S Pine St, Spartanburg, SC 29302-2622 | 2017-05-01 |
| 1265884852 | Prisma Health University Medical Group | Durable Medical Equipment & Medical Supplies | 333 S Pine St, Spartanburg, SC 29302-2622 | 2016-07-07 |
| 1104213677 | Tara Wheeler | Family Medicine | 333 S Pine St, Spartanburg, SC 29302-2622 | 2015-04-22 |
| 1912390667 | Sarah Emilia Moore | Physical Therapist | 333 S Pine St, Spartanburg, SC 29302-2622 | 2015-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226476 | Healthstat Inc Grace Management | Preventive Medicine | 951 South Pin Street, Suite 200, Spartanburg, SC 29302 | 2020-08-18 |
| 1467978304 | Katherine Tomes | Speech-Language Pathologist | 355 Cedar Springs Road, Spartanburg, SC 29302 | 2017-08-22 |
| 1396291167 | Brent Timothy Smith | Specialist | 151 Ribault Street Suite 200, Spartanburg, SC 29302 | 2016-08-31 |
| 1376995159 | Natalie Nicole Kellett | Nurse Practitioner | 120 Heywood Avenue Suite 200, Spartanburg, SC 29302 | 2016-07-06 |
| 1902273808 | Tamieka Latrell Alston-gibson | Nurse Practitioner | 101 North Pine Street, Suite 210, Spartanburg, SC 29302 | 2015-08-26 |
| 1700209905 | Robert W Wyatt | Pharmacist | 203 Cedar Springs Rd, Spartanburg, SC 29302 | 2014-01-24 |
| 1952735748 | James Sidney Fulmer Sr. | Obstetrics & Gynecology | 167 Ivy Court, Spartanburg, SC 29302 | 2013-08-28 |
| 1053651828 | Jennifer Geddes Hall | Counselor | 101 N Pine St Ste 210, Spartanburg, SC 29302 | 2013-02-15 |
| 1487875514 | Park Place Spartanburg | Assisted Living Facility | 2720 Country Clud Road, Spartanburg, SC 29302 | 2007-05-02 |
| 1740304401 | Leon Derek Herring | Dentist | 270 Cedar Spring Rd, Spartanburg, SC 29302 | 2007-03-19 |
| Find all providers in zip 29302 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992339220 | Donald Jason Jolley | Durable Medical Equipment & Medical Supplies | 1413 Wo Ezell Blvd, Spartanburg, SC 29301-1560 | 2020-02-25 |
| 1275011652 | Tri-state Medical Supplies, North Grove | Durable Medical Equipment & Medical Supplies | 1330 Boiling Springs Rd Ste 2900, Spartanburg, SC 29303 | 2018-07-30 |
| 1881118511 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1000 N Pine St Ste 32, Spartanburg, SC 29303-3182 | 2017-08-03 |
| 1619490646 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1510 Wo Ezell Blvd, Spartanburg, SC 29301-2616 | 2017-07-21 |
| 1376095620 | Anesthesia Services Associates | Durable Medical Equipment & Medical Supplies | 225 E Blackstock Rd, Spartanburg, SC 29301-2633 | 2016-11-02 |
| 1215375944 | Southeastern Paper Group | Durable Medical Equipment & Medical Supplies | 50 Old Blackstock Rd, Spartanburg, SC 29301-5571 | 2013-06-04 |
| 1699086546 | Peacock Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8147 Warren H Abernathy Hwy, Spartanburg, SC 29301-2451 | 2010-06-25 |
| 1912221664 | Peaock Medical Equipment & Home Health Care LLC | Durable Medical Equipment & Medical Supplies | 550 S Church St Ste 11, Spartanburg, SC 29306-3306 | 2010-03-24 |
| 1750549341 | Miracle Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 275 S Church St, Suite 103, Spartanburg, SC 29306-3417 | 2008-05-30 |
| 1922283308 | David E Byers | Durable Medical Equipment & Medical Supplies | 1413 W O Ezell Blvd, Spartanburg, SC 29301-1560 | 2008-01-04 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29302 |
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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.