Healthcare Provider Details

I. General information

NPI: 1306164173
Provider Name (Legal Business Name): JAMIE MAKAYLA CARVER PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2010
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 HUDSON WAY ORANGE DOOR SUITE
GREER SC
29650-3012
US

IV. Provider business mailing address

120 HUDSON WAY ORANGE DOOR SUITE
GREER SC
29650-3012
US

V. Phone/Fax

Practice location:
  • Phone: 517-899-2894
  • Fax: 864-399-1591
Mailing address:
  • Phone: 517-899-2894
  • Fax: 864-399-1591

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number6158
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: