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Organization
GREENVILLE PROAXIS THERAPY, LLC
Active
Organization
GREENVILLE PROAXIS THERAPY, LLC
Active
Other names
ATI Physical Therapy of Greenville
Organization subpart
No
Provider details
NPI number
Authorized official
WADE A MEYER (VP CHIEF COMPLIANCE OFFICER)
(630) 296-2222
Entity
Organization
Contact information
Practice address
103 N MAIN ST, STE 99, GREENVILLE, SC 29601-2796
(864) 528-5728
(864) 528-5729
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD4407
MEDICARE RAILROAD
SC
05
—
GP4143
—
SC
Enumeration date
12/09/2005
Last updated
04/15/2025
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