EVOLVING MINDS THERAPY LLC NPI 1093648230

NPI Information

  • NPI: 1093648230
  • Provider Name: EVOLVING MINDS THERAPY, LLC
  • Classification: Physical Medicine & Rehabilitation - 2081P0010X
  • Specialization: Pediatric Rehabilitation Medicine
  • Entity Type: Organization
  • Address: 1271 S SUBER RD STE B
    GREER, SC
    ZIP 29650
  • Phone: (864) 655-5845

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NPI Details

EVOLVING MINDS THERAPY, LLC is a pediatric rehabilitation medicine physical medicine rehabilitation in Greer, SC. The provider is a physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care. EVOLVING MINDS THERAPY, LLC NPI is 1093648230. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1271 S SUBER RD STE B
GREER, SC
ZIP 29650-940
Phone: (864) 655-5845
Fax: (864) 469-2040

The provider's authorized official is Candance Code .
The authorized official title is Partner/executive Director and has the following contact phone number (662) 719-9211.

The enumeration date for this NPI number is 6/6/2026 and was last updated on 6/6/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1224Z00000XOccupational Therapy AssistantNo
22080P0008XPediatricsNeurodevelopmental DisabilitiesNo
32251P0200XPhysical TherapistPediatricsNo
4225200000XPhysical Therapy AssistantNo
5225X00000XOccupational TherapistNo
6235Z00000XSpeech-Language PathologistNo
72081P0010XPhysical Medicine & RehabilitationPediatric Rehabilitation MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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