1437772381 NPI number — ENERGIZE THERAPY SERVICES, PC

Table of content: (NPI 1437772381)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437772381 NPI number — ENERGIZE THERAPY SERVICES, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ENERGIZE THERAPY SERVICES, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437772381
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/29/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4220 THAMES CIR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FORT MILL
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29715-0140
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
978-766-8320
Provider Business Mailing Address Fax Number:
803-792-4224

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4220 THAMES CIR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FORT MILL
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29715-0140
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
978-766-8320
Provider Business Practice Location Address Fax Number:
803-792-4224
Provider Enumeration Date:
05/27/2020

Additional Information

Authorized Official

Authorized Official Last Name:
POIRIER
Authorized Official First Name:
JENNIFER
Authorized Official Middle Name:
L
Authorized Official Title or Position:
PHYSICAL THERAPIST/ OWNER
Authorized Official Telephone Number:
978-766-8320

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QP2000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 12298 . This is a "NC PT BOARD" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 7599 . This is a "SC PT BOARD" identifier , issued by the state of ( SC ) . This identifiers is of the category "OTHER".




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