Healthcare Provider Details

I. General information

NPI: 1255297784
Provider Name (Legal Business Name): VHEAL PT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2025
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

714 PAXTON ROSE DR
GREER SC
29650-2776
US

IV. Provider business mailing address

714 PAXTON ROSE DR
GREER SC
29650-2776
US

V. Phone/Fax

Practice location:
  • Phone: 518-495-5528
  • Fax:
Mailing address:
  • Phone: 518-495-5528
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: NILAXI TAILOR
Title or Position: PHYSICAL THERAPIST
Credential:
Phone: 518-495-5528