PERSONAL THERAPY INC NPI 1407821911

NPI Information

  • NPI: 1407821911
  • Provider Name: PERSONAL THERAPY INC
  • Classification: Physical Therapist - 2251P0200X
  • Specialization: Pediatrics
  • Entity Type: Organization
  • Address: 823 S OLD FAIRVIEW RD
    FOUNTAIN INN, SC
    ZIP 29644
  • Phone: (864) 871-1478

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NPI Details

PERSONAL THERAPY INC is a pediatrics physical therapist in Fountain Inn, SC. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. PERSONAL THERAPY INC NPI is 1407821911. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

823 S OLD FAIRVIEW RD
FOUNTAIN INN, SC
ZIP 29644-726
Phone: (864) 871-1478
Fax: (864) 243-2428

The provider's authorized official is Rebecca C Brown .
The authorized official title is Owner and has the following contact phone number (864) 871-1478.

The enumeration date for this NPI number is 2/19/2006 and was last updated on 5/30/2013.

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
12251P0200XPhysical TherapistPediatrics1607SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GP3917MEDICAIDSOUTH CAROLINA

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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