Lori Shannon Stubbs, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

670 Issued in SC

Practice address

712 N a St
Easley, SC 29640-2142

Phone

(864) 859-4938

Fax

(864) 859-3345

NPI assigned

Sep 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Matrix Rehabilitation South Carolina, Inc.

  dba Select Physical Therapy

  • Rehabilitation Clinic/Center
  • Easley, SC
  • NPI 1881610988
  NPD (past)
• Matrix Rehabilitation-South Carolina, Inc.

  dba Select Physical Therapy

  • Rehabilitation Clinic/Center
  • Rock Hill, SC
  • NPI 1093731176
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033210141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 MCCARSON RD",
            "city": "MARIETTA",
            "state": "SC",
            "postal_code": "296619205",
            "telephone_number": "864-836-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 N A ST",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296402142",
            "telephone_number": "864-859-4938",
            "fax_number": "864-859-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBBS",
        "first_name": "LORI",
        "middle_name": "SHANNON",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Ralph Strange, DMD
• Stride Counseling & Facilitation, LLC
• Stride Healthcare LLC
• Bernice Mary Strother, LRD
• Briana Albright Stroud, PHARM D
• James Ballentine Stuckey Sr., D.M.D.
• Kristen Ann Sturm
• Yvonne Styles, NP
• Judson Lee Suber, D.M.D.
• Kimberly Sue Sudduth, RN

• Physical Therapy Assistant in Easley, SC
• Providers in Easley, SC by specialty
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.