MEDICARE: ENERGIZE THERAPY SERVICES, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency
2	261QP2000X	Physical Therapy Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	12298	OTHER	NC	NC PT BOARD
2	7599	OTHER	SC	SC PT BOARD

General Provider Information

NPI Number	:	1437772381
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENERGIZE THERAPY SERVICES, PC

Provider Business Mailing Address
First Line	:	4220 THAMES CIR
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29715-0140
Country	:	US
Telephone Number	:	978-766-8320
Fax Number	:	803-792-4224

Provider Business Practice Location Address
First Line	:	4220 THAMES CIR
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29715-0140
Country	:	US
Telephone Number	:	978-766-8320
Fax Number	:	803-792-4224

Authorized Official
Title or Position	:	PHYSICAL THERAPIST/ OWNER
Name	:	DR. JENNIFER L POIRIER
Credential	:	DPT
Telephone Number	:	978-766-8320

Provider Enumeration Date	:	05/27/2020
Last Update Date	:	01/29/2026

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