Active NPI
Brenda Lee Sorrells, CO
- Orthotist
- Rock Hill, SC
National Provider Identifier
1134765167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- CO003119
- Practice address
- 223 S Herlong Ave Ste 110
Rock Hill, SC 29732-1089 - Phone
- (803) 980-5080
- NPI assigned
- Nov 25, 2019
- Last updated
- May 31, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mastectomy Fitter | 224900000X | CFM02296 | ||
| Orthotist | 222Z00000X | CO003119 | Primary |
Addresses
Primary practice location
223 S Herlong Ave Ste 110
Rock Hill, SC 29732-1089
Mailing address
223 S Herlong Ave Ste 110
Rock Hill, SC 29732-1089
Phone (803) 980-5080
Other practice location 1
10502 Park Rd Ste 170
Charlotte, NC 28210-6490
Phone (704) 697-1105
Other practice location 2
901 W Meeting St Ste 102
Lancaster, SC 29720-6209
Phone (803) 283-8774
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653955200000",
"number": "1134765167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 S HERLONG AVE STE 110",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297321089",
"telephone_number": "803-980-5080",
"fax_number": "803-980-5083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 S HERLONG AVE STE 110",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297321089",
"telephone_number": "803-980-5080"
}
],
"practiceLocations": [
{
"address_1": "10502 Park Rd Ste 170",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282106490",
"country_code": "US",
"telephone_number": "704-697-1105",
"fax_number": "704-544-3438",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "901 W Meeting St Ste 102",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "SC",
"postal_code": "297206209",
"country_code": "US",
"telephone_number": "803-283-8774",
"fax_number": "803-283-8780",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SORRELLS",
"first_name": "BRENDA",
"middle_name": "LEE",
"credential": "CO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-25",
"last_updated": "2022-05-31",
"certification_date": "2022-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "224900000X",
"taxonomy_group": "",
"desc": "Mastectomy Fitter",
"state": null,
"license": "CFM02296",
"primary": false
},
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": null,
"license": "CO003119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rock Hill, SC
- Sodexo
- Amanda Christene Somani, COTA
- Rhonnie Song, MD
- Margav Soni
- Prachi Shridhar Sontakke, DMD
- Karina Soto, LPN
- South Carolina CVS Pharmacy LLC (CVS Pharmacy #03809)
- South Carolina CVS Pharmacy LLC (Cvs Pharmacy #11450)
- South Carolina CVS Pharmacy LLC (CVS Pharmacy #16710)
- South Carolina CVS Pharmacy LLC (CVS Pharmacy #04288)
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.