# PREMIER PHYSICAL THERAPY OF THE UPSTATE LLC

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

## Provider details

- **NPI number:** 1720148943
- **Authorized official:** MARK C MURPHY PT (OWNER)
- **Authorized official phone:** (864) 288-2998

## Contact information

- **Practice address:** 14 LITTLEJOHN GLEN CT, GREENVILLE, SC 29615-5791
- **Practice address phone:** (864) 288-2998
- **Practice address fax:** (864) 288-3522
- **Mailing address:** 14 LITTLEJOHN GLEN CT, GREENVILLE, SC 29615-5791
- **Mailing address phone:** (864) 288-2998
- **Mailing address fax:** (864) 288-3522

## Taxonomy

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

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 05/24/2021