Individual provider Active NPI

Chad S Gindi, PT,DPT

  • Physical Therapist
  • Lancaster, SC
National Provider Identifier
1023170255
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5224 Issued in SC
Practice address
1002N Woodland Dr
Lancaster, SC 29720-1966
Phone
(803) 283-8442
Fax
(803) 286-4604
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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 5224 SC Primary

Addresses

Primary practice location

1002N Woodland Dr
Lancaster, SC 29720-1966

Mailing address

1002N Woodland Dr
Lancaster, SC 29720-1966
Phone (803) 283-8442

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070226000667 SC Practitioner - Physical Therapist in Private Practice 3173587318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1002 Woodland Dr
Lancaster, SC 29720
Phone (803) 283-8442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5224SCMDMassage Therapist
023436NYMDOccupational Therapist
5524SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gindi Physical Therapy, LLC CurrentSince Jan 1, 2015 Accepting new patients
Southern States Physical Therapy LLC Physical Therapist Past Accepting new patients
Southern States Physical Medicine and Rehabilitation Center Physical Therapist PastSince Oct 24, 2002 Accepting new patients
GG Chiropractic LLC PastSince Nov 10, 2019 Accepting new patients

Locations

1002 N Woodland Dr
Lancaster, SC 29720
Phone (803) 283-8442

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1023170255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002N WOODLAND DR",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297201966",
            "telephone_number": "803-283-8442",
            "fax_number": "803-286-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002N WOODLAND DR",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297201966",
            "telephone_number": "803-283-8442",
            "fax_number": "803-286-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINDI",
        "first_name": "CHAD",
        "middle_name": "S",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; 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.