=====================================================
General NPI Number Information
=====================================================
NPI Number | 1326990995
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SARA THI NGUYEN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/13/2026
-----------------------------------------------------
Last Update Date | 02/13/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1990 AUGUSTA ST STE 2500
-----------------------------------------------------
City | GREENVILLE
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29605-6510
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 864-370-0131
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 131 MARINERS BLUFF RD
-----------------------------------------------------
City | YORK
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29745-7678
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 803-415-0002
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | 13265
-----------------------------------------------------
License Number State | SC
-----------------------------------------------------