FOUNDATION PHYSICAL THERAPY, LLC
NPI 1124743331
Clinic/Center - Physical Therapy in Greenville, SC
About Foundation Physical Therapy, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FOUNDATION PHYSICAL THERAPY, LLC (NPI 1124743331) is a healthcare organization registered as a physical therapy in Greenville, South Carolina and active in the NPI registry since October 2022. The organization lists Samuel Collins Jackson, Owner/provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Foundation Physical Therapy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Foundation Physical Therapy, LLC, which bills Medicare for the services they deliver. Of these, 7 practice at this address. They are listed nearest first.
Clinicians, nearest first (7)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Foundation Physical Therapy, LLC's NPI number?
The NPI number for Foundation Physical Therapy, LLC is 1124743331. It was assigned to this organization in the NPPES registry on October 10, 2022.
Where is Foundation Physical Therapy, LLC located?
Foundation Physical Therapy, LLC is located at 104 Mauldin Rd Ste B, Greenville, SC 29605. The listed phone number is (864) 214-6680.
What is Foundation Physical Therapy, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Foundation Physical Therapy, LLC enrolled in Medicare?
Yes. Foundation Physical Therapy, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Foundation Physical Therapy, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Foundation Physical Therapy, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 7 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Foundation Physical Therapy, LLC accept?
Health plans from BlueCross BlueShield of South Carolina list Foundation Physical Therapy, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Foundation Physical Therapy, LLC was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Foundation Physical Therapy, Llc · NPI 1124743331
Physical Therapy organization in Greenville, South Carolina. Organization record, active in the CMS NPPES registry since October 10, 2022.
## Identity
- **NPI:** 1124743331 (Entity type: Organization)
- **Enumerated:** October 10, 2022
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** Samuel Jackson, OWNER/PROVIDER
## Practice location
- **Address:** 104 MAULDIN RD STE B, Greenville, SC 29605-1221
- **Phone:** (864) 214-6680 · **Fax:** (864) 309-8043
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 7 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1124743331) · Data from the CMS NPPES public registry.