Individual provider Active NPI

Susan Dinlocker

  • Physical Therapist
  • Lake Wylie, SC
National Provider Identifier
1124308390
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4985 Issued in SC
Practice address
716 Kingsmill LN
Lake Wylie, SC 29710-8072
Phone
(866) 571-2700
NPI assigned
Aug 19, 2011
Last updated
Aug 19, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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 4985 SC Primary

Addresses

Primary practice location

716 Kingsmill LN
Lake Wylie, SC 29710-8072

Mailing address

716 Kingsmill LN
Lake Wylie, SC 29710-8072

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241112001816 SC Practitioner - Physical Therapist in Private Practice 9335131200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Weston Group of South Carolina IncGroup PAC ID 2062651185, 80 clinicians

Practice addresses (Care Compare)

1061 Gold Hill Rd
Fort Mill, SC 29708-7831
Phone (803) 548-3825

4877 Charlotte Hwy
Lake Wylie, SC 29710-8096
Phone (803) 831-9900

872 Singleton Ridge Rd
Conway, SC 29526-1101
Phone (610) 438-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Weston Group of South Carolina Inc Physical Therapist CurrentSince Sep 25, 2024 Accepting new patients
Virginia Hospital Center Arlington Health System Past Accepting new patients
Loudoun Physical Therapy, Inc. Physical Therapist PastSince Oct 1, 1998 Accepting new patients

Locations

872 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 347-3050

1830 Main St W
Rock Hill, SC 29732
Phone (803) 980-4100

Organizations & group practices 3

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": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1124308390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 KINGSMILL LN",
            "city": "LAKE WYLIE",
            "state": "SC",
            "postal_code": "297108072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 KINGSMILL LN",
            "city": "LAKE WYLIE",
            "state": "SC",
            "postal_code": "297108072",
            "telephone_number": "866-571-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINLOCKER",
        "first_name": "SUSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Wylie, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.