Organization
ADVANCED PHYSICAL THERAPY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA T. WALDROP (OFFICE MANAGER)
(864) 760-0504
Entity
Organization
Contact information
Practice address
108 MONTGOMERY DR, ANDERSON, SC 29621-3334
(864) 760-0504
(864) 760-0506
Mailing address
PO BOX 2225, EASLEY, SC 29641-2225
(864) 760-0504
(864) 760-0506
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9429
MEDICARE GROUP PTAN
SC
Enumeration date
01/06/2010
Last updated
03/27/2026
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