OrganizationActive
Evolving Minds Therapy, LLC
NPI 1093648230 · Pediatric Rehabilitation Medicine Physician · Greer, SC
Provider details
- NPI number
- 1093648230
- Entity type
- Organization
- Primary specialty
- Pediatric Rehabilitation Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Candance Code, Partner/Executive Director(662) 719-9211
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Occupational Therapy Assistant224Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Allopathic & Osteopathic Physicians
- Pediatric Physical Therapist2251P0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapy Assistant225200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1271 S Suber Rd Ste B
Greer, SC 29650-0940
Phone: (864) 655-5845
Fax: (864) 469-2040
Approximate (ZIP-level) locationGet directions
Mailing address
2106 Old Spartanburg Rd
Greer, SC 29650-2763
Registry dates
- Enumerated
- 2026-06-06
- Last updated
- 2026-06-06
- Certified
- 2026-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.