Foundation Physical Therapy, LLC

Physical Therapy Clinic/Center · Greenville, SC

Organization Active NPI

NPI number 1124743331

Practice location

104 Mauldin Rd Ste B
Greenville, SC 29605-1221
Phone
(864) 214-6680
Fax
(864) 309-8043

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NPI record

NPI
1124743331
Entity type
Organization (Type 2)
Enumeration date
October 10, 2022
Last updated
June 2, 2026
Certified
June 2, 2026
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Clinic/Center Primary 261QP2000X — —

Authorized official

Name
Samuel Collins Jackson, DPT
Title
Owner/Provider
Phone
(864) 380-8946

About Foundation Physical Therapy, LLC

Foundation Physical Therapy, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Physical Therapy Clinic/Center (code 261QP2000X). The practice location is 104 Mauldin Rd Ste B, Greenville, SC 29605-1221. The NPI number 1124743331 was assigned on October 10, 2022 and the record was last updated on June 2, 2026.

The authorized official for this organization is Samuel Collins Jackson, DPT, Owner/Provider.

Frequently asked questions

What is the NPI number of Foundation Physical Therapy, LLC?

The NPI number is 1124743331.

What is the phone number of Foundation Physical Therapy, LLC?

The phone number listed for the practice location is (864) 214-6680.

Where is Foundation Physical Therapy, LLC located?

104 Mauldin Rd Ste B, Greenville, SC 29605-1221.

What is the taxonomy code for Foundation Physical Therapy, LLC?

The primary taxonomy code is 261QP2000X – Physical Therapy Clinic/Center.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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