Individual provider Active NPI

Lindsay Simmons Edwards, DPT

  • Physical Therapist
  • Clinton, SC
National Provider Identifier
1003122268
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5989 Issued in SC
Practice address
105 Physicians Park Dr
Clinton, SC 29325-7551
Phone
(864) 938-0111
Fax
(864) 938-0811
NPI assigned
Aug 26, 2010
Last updated
Apr 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5989 SC Primary

Addresses

Primary practice location

105 Physicians Park Dr
Clinton, SC 29325-7551

Mailing address

105 Physicians Park Dr
Clinton, SC 29325-7551
Phone (864) 938-0111

Other names 1

  • Lindsay C Simmons Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110215000858 SC Practitioner - Physical Therapist in Private Practice 9436339967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Medical University of South Carolina College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Rehabilitation Group LLCGroup PAC ID 4688689581, 6 clinicians

Practice addresses (Care Compare)

700 Plaza Cir
Unit O 1
Clinton, SC 29325-7556
Phone (864) 938-0111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Rehabilitation Group, LLC Physical Therapist CurrentSince Aug 30, 2010 Accepting new patients
Physical Rehabilitation Group Physical Therapist PastSince Aug 30, 2010 Accepting new patients

Locations

105 Physicians Park Dr
Clinton, SC 29325
Phone 864583005328

700 Plaza Cir
Unit O1
Clinton, SC 29325
Phone (864) 938-0111

113 Professional Park Rd
Columbia, SC 29229
Phone (803) 732-5887

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3723/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lindsay.edwards.1@3723.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1003122268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PHYSICIANS PARK DR",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293257551",
            "telephone_number": "864-938-0111",
            "fax_number": "864-938-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PHYSICIANS PARK DR",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293257551",
            "telephone_number": "864-938-0111",
            "fax_number": "864-938-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "LINDSAY",
        "middle_name": "SIMMONS",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-26",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "SIMMONS",
            "middle_name": "C",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clinton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.