Larry Elliott Jr., PTA
Physical Therapy Assistant in Rock Hill, SC. Individual provider (NPI-1).
NPI number1619401809
StatusActive
Last updated in NPPESApr 14, 2017
Details
- NPI
- 1619401809
- Entity type
- Individual (NPI-1)
- Name
- Larry Elliott Jr.
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 14, 2017
- Last updated
- Apr 14, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 1580 | SC | Yes |
Practice location
831 McDow DrRock Hill, SC 29732-2415
Phone 803-366-5722
Mailing address
548 Sweet Peach LnFort Mill, SC 29715-6943
Phone 803-547-3049
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 28 Physical Therapy Assistant providers in Rock Hill · All 3,181 providers in Rock Hill
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