FOUNDATION PHYSICAL THERAPY, LLC
NPI 1124743331
Clinic/Center - Physical Therapy in Greenville, SC

Active since October 10, 2022
104 MAULDIN RD STE B, GREENVILLE, SC 29605(864) 214-6680(864) 309-8043 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 2, 2026, Jul 16, 2024, Oct 10, 2022 (3 updates tracked since 2022).

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

NPI1124743331
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameFOUNDATION PHYSICAL THERAPY, LLC
Location Address104 MAULDIN RD STE BGreenville, SC 29605-1221
Mailing Address104 Mauldin Rd Ste BGreenville, SC 29605-1221 · (864) 214-6680 · Fax (864) 309-8043
Fax(864) 309-8043
Organization SubpartNo
Authorized OfficialSamuel Collins JacksonOwner/provider · (864) 380-8946
Enumeration DateOctober 10, 2022
Last NPPES UpdateJune 2, 20263 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
NPI 1124743331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
104 MAULDIN RD STE B, Greenville, SC 29605

Accepted Insurance

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
104 MAULDIN RD STE B
GREENVILLE, SC 29605
Physical Therapist
104 MAULDIN RD STE B
GREENVILLE, SC 29605
Physical Therapist
104 MAULDIN RD STE B
GREENVILLE, SC 29605
Physical Therapist
104 MAULDIN RD STE B
GREENVILLE, SC 29605
Physical Therapist (Orthopedic)
104 MAULDIN RD STE B
GREENVILLE, SC 29605
Physical Therapist
104 MAULDIN RD STE B
GREENVILLE, SC 29605

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.

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 2 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.