Provider Demographics
NPI:1396231551
Name:PURPOSED PHYSICAL THERAPY, LLC.
Entity Type:Organization
Organization Name:PURPOSED PHYSICAL THERAPY, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:DENIS
Authorized Official - Suffix:II
Authorized Official - Credentials:PT, DPT, VR/CCON, DN
Authorized Official - Phone:864-881-1712
Mailing Address - Street 1:11 BARKINGHAM LN STE C
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-5905
Mailing Address - Country:US
Mailing Address - Phone:864-881-1712
Mailing Address - Fax:864-435-9923
Practice Address - Street 1:11 BARKINGHAM LN STE C
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-5905
Practice Address - Country:US
Practice Address - Phone:864-881-1712
Practice Address - Fax:864-435-9923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-10
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy