Foundation Physical Therapy, LLC
NPI 1124743331 · Physical Therapy Clinic/Center · Greenville, SC
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Foundation Physical Therapy, LLC is a Physical Therapy Clinic/Center organization in Greenville, SC (NPI 1124743331).
Provider details
- NPI number
- 1124743331
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samuel Jackson, Owner/Provider(864) 380-8946
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-10-10
- Last updated
- 2026-06-02
- Certified
- 2026-06-02
Frequently asked questions
- What is Foundation Physical Therapy, LLC's NPI number?
- Foundation Physical Therapy, LLC's National Provider Identifier (NPI) is 1124743331, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Foundation Physical Therapy, LLC?
- Foundation Physical Therapy, LLC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Foundation Physical Therapy, LLC located?
- Foundation Physical Therapy, LLC's practice location on file with NPPES is 104 Mauldin Rd Ste B, Greenville, SC 29605-1221.
- What is Foundation Physical Therapy, LLC's phone number?
- The practice phone number listed in the NPPES registry for Foundation Physical Therapy, LLC is (864) 214-6680.
- Does Foundation Physical Therapy, LLC accept Medicare?
- Foundation Physical Therapy, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Foundation Physical Therapy, LLC?
- The authorized official listed on Foundation Physical Therapy, LLC's NPPES record is Samuel Jackson, Owner/Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Foundation Physical Therapy, LLC's NPI active?
- Yes — Foundation Physical Therapy, LLC's NPI (1124743331) is active in the NPPES registry as of the last update on 2026-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.