Healthcare Provider Details

I. General information

NPI: 1124385489
Provider Name (Legal Business Name): NEW DAY PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2012
Last Update Date: 04/11/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 N MAIN ST
GREER SC
29650-1634
US

IV. Provider business mailing address

300 N MAIN ST
GREER SC
29650-1634
US

V. Phone/Fax

Practice location:
  • Phone: 864-230-9996
  • Fax:
Mailing address:
  • Phone: 864-230-9996
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number4735
License Number StateSC

VIII. Authorized Official

Name: DAVID L TAYLOR
Title or Position: SOLE MEMBER
Credential: P.T.
Phone: 864-230-9996