Active NPI
Lisa Marie Wells, P.T.
- Physical Therapist
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5257
- Practice address
- 201 Roper Creek Dr
Greenville, SC 29615-6927 - Phone
- (864) 286-9966
- NPI assigned
- Mar 6, 2013
- Last updated
- Nov 11, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5257 | SC | Primary |
Addresses
Primary practice location
201 Roper Creek Dr
Greenville, SC 29615-6927
Mailing address
PO Box 749303
Atlanta, GA 30374-9303
Phone (864) 573-5075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Oakland College of Medicine and Surgery, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1762 E Main St
Spartanburg, SC 29307-2231
Phone (864) 573-5075
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5257 | SC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Upper Extremity Rehab Specialists, PA | Physical Therapist | Current | Accepting new patients |
Locations
201 Roper Creek Dr
Greenville, SC 29615
Phone (864) 286-9966
1510 Ribaut Rd
Port Royal, SC 29935
Phone (843) 524-3241
1762 E Main St
Spartanburg, SC 29307
Phone (864) 573-5075
Organizations & group practices 2
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.
-
dba Novant Health Physical Therapy
- Physical Therapist
- Port Royal, SC
- NPI 1376379818
-
dba Physical Therapy &Upper Extremity Specialists
- Occupational Therapist
- Greenville, SC
- NPI 1467405860
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731283200000",
"number": "1164763785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 749303",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303749303",
"telephone_number": "864-573-5075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 ROPER CREEK DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296156927",
"telephone_number": "864-286-9966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "LISA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-06",
"last_updated": "2024-11-11",
"certification_date": "2024-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "5257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.