Healthcare Provider Details

I. General information

NPI: 1578379426
Provider Name (Legal Business Name): ACCELERATED PHYSICAL THERAPY PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2024
Last Update Date: 12/23/2024
Certification Date: 12/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 N MAIN ST
GREER SC
29650-1634
US

IV. Provider business mailing address

77 POINTE CIR
GREENVILLE SC
29615-3505
US

V. Phone/Fax

Practice location:
  • Phone: 864-233-4477
  • Fax: 864-233-7844
Mailing address:
  • Phone: 864-233-4477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: RACHEL GIBSON
Title or Position: OFFICE MANAGER
Credential:
Phone: 864-233-4477