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NPI · 1700212420 · NPPES-sourced

Southern Lakes Therapy LLC

ActivePhysical Therapist
NPI Number
1700212420
Type 2 · Organisation
Taxonomy Code
225100000X
Contact
(803) 433-9001
License SC · 5485
Last Updated
Enumerated
Primary practice addressSC · 29102
297 W Boyce StManning, SC 29102
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About this NPIWhat this record shows.

NPI 1700212420 is registered to Southern Lakes Therapy LLC, a healthcare organisation classified as "Physical Therapist" and located at 297 W Boyce St in Manning, South Carolina. The organisation's authorised official is Heather Goff. The organisation has been enumerated in the NPI registry since 2013.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Southern Lakes Therapy LLC accepts. To confirm in-network status with your specific health plan, contact Southern Lakes Therapy LLC directly at (803) 433-9001.

Frequently asked

Yes. NPI 1700212420 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physical Therapist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (803) 433-9001.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Southern Lakes Therapy LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy225100000X
Last updated
Enumerated
StatusActive
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2 records · same addressOther providers at this location.

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Same specialtyOther Physical Therapist providers in South Carolina.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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