Theresa Lynn Paquette, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7713 Issued in SC

Practice address

2200 Crow LN
Myrtle Beach, SC 29577-1663

Phone

(860) 416-8617

NPI assigned

May 31, 2022

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

Enrolled in SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Georgetown Physician Associates, LLCGroup PAC ID 2365697398, 221 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Georgetown Physician Associates, LLC

  • Family Medicine Physician
  • Murrells Inlet, SC
  • NPI 1235475930

  SC

  Medicare reassignment Care Compare group NPD
• Georgetown Physician Associates, LLC

  • Rural Health Clinic/Center
  • Andrews, SC
  • NPI 1104995372
  Care Compare group
• Georgetown Physician Associates, LLC

  • Rural Health Clinic/Center
  • Pawleys Island, SC
  • NPI 1306028832
  Care Compare group
• Georgetown Physician Associates, LLC

  • Rural Health Clinic/Center
  • Hemingway, SC
  • NPI 1588716815
  Care Compare group
• Georgetown Physician Associates, LLC

  • Rural Health Clinic/Center
  • Georgetown, SC
  • NPI 1841364007
  Care Compare group
• Georgetown Physician Associates LLC

  • Family Medicine Physician
  • Georgetown, SC
  • NPI 1881410587
  NPD
• Georgetown Physician Associates, LLC

  • Physical Therapy Clinic/Center
  • Myrtle Beach, SC
  • NPI 1124673793
  NPD

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1124767082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421718",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294424203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 CROW LN",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295771663",
            "telephone_number": "860-416-8617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAQUETTE",
        "first_name": "THERESA",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "7713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malinda Paolozzi, DNP, APRN, PMHNP-BC
• Efstratios Papadelis, DO
• Vasiliki Papathanasiou, M.D.
• Alexander James Pappas, M.D.
• Bhavani Nagendra Papudesi, MD
• Par PT, LLC
• Harshvardhan Pardeshi, M.D
• David Ralph Pardue
• Melissa Pare, APRN
• Jennifer Christine Kudsin Parent, M, CCC-SLP

• All providers in Myrtle Beach, SC
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.