Provider Demographics
NPI:1639725575
Name:DENIS, JAMES RICHARD (DPT)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:RICHARD
Last Name:DENIS
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:
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:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-15
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCPT.9854225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist