Caroline Morris Brown, PT, DPT
Individual provider Active NPI Physical Therapist · Lake City, SC
NPI 1154038545 · NPPES record last updated Jun 5, 2024
Key facts
- NPI
- 1154038545
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11007 (SC)
- Practice address
- 148 Sauls St
Ste B
Lake City, SC 29560-2677 - Phone
- (843) 374-0185
- Fax
- (843) 374-0189
- NPI assigned
- Nov 3, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pro-Motion Physical Therapy of Florence SC LLC
Practice addresses (Care Compare)
148 Sauls St
Suite B
Lake City, SC 29560-2677
Phone (843) 374-0185
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240730001463 | SC | Practitioner - Physical Therapist in Private Practice | 3678010428 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ih3 Physcial Therapy | Physical Therapist | Current |
Accepting new patients |
| Pro-Motion Physical Therapy of Florence, SC, LLC | Physical Therapist | Current |
Accepting new patients |
Locations
148 Sauls St
Ste B
Lake City, SC 29560
Phone (843) 374-0185
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11007 | SC | Yes |
Addresses
Primary practice location
148 Sauls St
Ste B
Lake City, SC 29560-2677
Mailing address
PO Box 6526
Columbia, SC 29260-6526
Phone (803) 693-5040
NPI Registry JSON
{
"created_epoch": "1667433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717545600000",
"number": "1154038545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6526",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292606526",
"telephone_number": "803-693-5040",
"fax_number": "803-993-9472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 SAULS ST",
"address_2": "STE B",
"city": "LAKE CITY",
"state": "SC",
"postal_code": "295602677",
"telephone_number": "843-374-0185",
"fax_number": "843-374-0189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "CAROLINE",
"middle_name": "MORRIS",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-03",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "11007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake City, SC
- Justin Harley Bogue
- Lacey Anita Booth
- Phillip Roy Boyer
- Krista Bridges
- Brighter Hope Psychiatry LLC
- Morris E Brown III
- Tiffaney Medina Brown
- Jerena M Bryant
- Shargarticer S Bryant
- Laura Ruthven Bulloch
All providers in Lake City, SC · Physical Therapist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.