SPARK THERAPY GROUP LLC (NPI# 1871031641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871031641 |
Entity Type | Organization |
Organization Name | SPARK THERAPY GROUP LLC |
Practice Address |
9 Drexel Ave Greenville SC 29615-1407 |
Mailing Address |
2435 E North St Ste 1108-176 Greenville SC 29615-1442 |
Practice Telephone | 8642704799 |
Enumeration Date | 2017-02-01 |
Last Update Date | 2017-03-30 |
Authorized Official Name | HEATHER NELSON (PHYSICAL THERAPIST) |
Authorized Official Telephone | 8642704799 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
4054 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
9 DREXEL AVE |
City | GREENVILLE |
State | SC |
Zip Code | 29615-1407 |
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 | 2251P0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417164146 | Pediatrics Unlimited Inc | Physical Therapist | 9-d Maple Tree Court, Greenville, SC 29615-4071 | 2007-05-16 |
1619925161 | Ashley Coleman Brewington | Physical Therapist | 100 Blassingame Rd, Greenville, SC 29605-3304 | 2006-05-05 |
1134769219 | Sarah Elizabeth Padgett | Physical Therapist | 29 N Academy St, Greenville, SC 29601-2629 | 2020-01-07 |
1669019774 | Laura Elizabeth Timmons | Physical Therapist | 1132 Rutherford Rd, Greenville, SC 29609-3927 | 2019-12-09 |
1972165041 | Behaviors A Go-go | Physical Therapist | 511 W Butler Rd, Greenville, SC 29607-4890 | 2019-06-28 |
1972002756 | Sarah Prickett Pate | Physical Therapist | 29 N Academy St, Greenville, SC 29601-2629 | 2018-02-07 |
1780109298 | Courtney N Knox | Physical Therapist | 545 Verdae Blvd Ste B, Greenville, SC 29607 | 2017-08-04 |
1942723481 | Samantha Marie Klei | Physical Therapist | 1925a Turnbury Dr, Greenville, NC 27858-6168 | 2017-07-17 |
1033647847 | Sarah Elizabeth Funderburg | Physical Therapist | 701 Grove Rd, Greenville, SC 29605-4210 | 2017-05-24 |
1336685577 | Megan Moore Ehrmann | Physical Therapist | 29 N Academy St, Greenville, SC 29601-2629 | 2017-01-11 |
Find all providers in GREENVILLE |
City | GREENVILLE |
Zip Code | 29615 |
Please comment or provide details below to improve the information on SPARK THERAPY GROUP 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.