# INTEGRATED PHYSICAL THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023577970
- **Authorized official:** NICHOLAS JAMES WINKLER (CEO)
- **Authorized official phone:** (855) 663-7772

## Contact information

- **Practice address:** 300 REGENT PARK CT, GREENVILLE, SC 29607-6547
- **Practice address phone:** (864) 437-8930
- **Practice address fax:** (864) 309-8004
- **Mailing address:** 300 REGENT PARK CT, GREENVILLE, SC 29607-6547
- **Mailing address phone:** (864) 437-8930
- **Mailing address fax:** (864) 309-8004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 03/19/2019
- **Last updated:** 09/14/2020