Provider Demographics
NPI:1952467482
Name:ANDERSON PHYSICAL THERAPY
Entity Type:Organization
Organization Name:ANDERSON PHYSICAL THERAPY
Other - Org Name:ANMED HEALTH REHAB PLUS
Other - Org Type:Other Name
Authorized Official - Title/Position:STAFF PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:
Authorized Official - Last Name:O'NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:864-231-2874
Mailing Address - Street 1:607 EMILY LN
Mailing Address - Street 2:APT. 2304
Mailing Address - City:PIEDMONT
Mailing Address - State:SC
Mailing Address - Zip Code:29673-8805
Mailing Address - Country:US
Mailing Address - Phone:864-314-3323
Mailing Address - Fax:
Practice Address - Street 1:2000 E GREENVILLE ST
Practice Address - Street 2:SUITE 3900
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-1580
Practice Address - Country:US
Practice Address - Phone:864-231-2874
Practice Address - Fax:864-231-2875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5132225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty