EMBODY ORTHOPEDIC & SPORTS PHYSICAL THERAPY, LLC (NPI# 1427420892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427420892 |
| Entity Type | Organization |
| Organization Name | EMBODY ORTHOPEDIC & SPORTS PHYSICAL THERAPY, LLC |
| Practice Address |
1440 Pelham Rd Ste A Greenville SC 29615-3900 |
| Practice Telephone | 8647291319 |
| Practice Fax Number | 8647293726 |
| Mailing Telephone | 8647291319 |
| Mailing Fax Number | 8647293726 |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2015-11-04 |
| Authorized Official Name | DR. MELISSA APRIL MCKEON POWERS (OWNER/FOUNDER) |
| Authorized Official Telephone | 8647291319 |
| Authorized Official Credential | PT, DPT, M.ED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251S0007X |
Physical Therapist Specialization: Sports |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1440 PELHAM RD STE A |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29615-3900 |
| 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 | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770101388 | Chelsea Marie Clark | Physical Therapist | 10 Tupelo Ct, Greenville, SC 29609-6027 | 2020-07-09 |
| 1467069138 | Zachary Benjamin Barrett | Physical Therapist | 1540 E Arlington Blvd, Greenville, NC 27858-5870 | 2020-09-28 |
| 1811507627 | Mason Smith | Physical Therapist | 1301 E Arlington Blvd, Greenville, NC 27858-5868 | 2020-08-06 |
| 1013556554 | Eric Kao | Physical Therapist | 3300 Poinsett Hwy, Greenville, SC 29613-0002 | 2020-01-02 |
| 1740836592 | Denise Schmidt | Physical Therapist | 1540 E Arlington Blvd, Greenville, NC 27858-5870 | 2019-08-16 |
| 1992351555 | Virginia Renn Shearin | Physical Therapist | 1301 E Arlington Blvd, Greenville, NC 27858-5868 | 2019-08-09 |
| 1568022275 | Courtney Beasley | Physical Therapist | 1540 E Arlington Blvd, Greenville, NC 27858-5870 | 2019-06-14 |
| 1053899625 | Richard Austin Mcphail | Physical Therapist | 1301 E Arlington Blvd, Greenville, NC 27858-5868 | 2018-08-05 |
| 1962929232 | Alicia Shepard | Physical Therapist | 2425 W Washington St Ste B, Greenville, MI 48838-8259 | 2017-08-27 |
| 1588103428 | Benjamin Myers | Physical Therapist | 1540 E Arlington Blvd, Greenville, NC 27858-5870 | 2017-02-13 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29615 |
Please comment or provide details below to improve the information on EMBODY ORTHOPEDIC & SPORTS PHYSICAL THERAPY, LLC.
| 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.