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

Nathanial Lawrence Vandyke, PT

Individual provider Physical Therapist · NPI 1679065619

Nathanial Lawrence Vandyke, PT is a Physical Therapist in Private Practice in Travelers Rest, South Carolina. Qualified in 2018, 8 years ago. Practices with Greenville Proaxis Therapy LLC, a 222-clinician group and accepts Medicare assignment.

Years since qualifying
8
In the registry since
2018
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

36 S Main St Ste B
Travelers Rest, SC 29690-1872
Phone: (864) 660-8200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1679065619
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 5, 2018
Last updated in NPPESApril 29, 2025
Certification dateApril 29, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Greenville Proaxis Therapy Llc — 222 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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