Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Foundation Physical Therapy, LLC

Organization Physical Therapy Clinic/Center · NPI 1124743331

Foundation Physical Therapy, LLC is a Physical Therapy Clinic/Center in Greenville, South Carolina. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

104 Mauldin Rd Ste B
Greenville, SC 29605-1221
Phone: (864) 214-6680
Fax: (864) 309-8043
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X

Record details

NPI number1124743331
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Jackson — Owner/Provider · (864) 380-8946
NPI enumeratedOctober 10, 2022
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026
Mailing address104 Mauldin Rd Ste B, Greenville, SC 29605-1221

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