Active NPI
Lauren Toth, PT
- Physical Therapist
- Myrtle Beach, SC
National Provider Identifier
1174972178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8128
- Practice address
- 210 Village Center Blvd
Ste 100
Myrtle Beach, SC 29579-6706 - Phone
- (843) 491-4937
- Fax
- (843) 491-4938
- NPI assigned
- Jun 9, 2016
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 009876 | CT | |
| Physical Therapist | 225100000X | 8128 | SC | Primary |
Addresses
Primary practice location
210 Village Center Blvd
Ste 100
Myrtle Beach, SC 29579-6706
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009876 | CT | MD | General Practice Dentistry |
| 8128 | SC | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481760000000",
"number": "1174972178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 VILLAGE CENTER BLVD",
"address_2": "STE 100",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295796706",
"telephone_number": "843-491-4937",
"fax_number": "843-491-4938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOTH",
"first_name": "LAUREN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-09",
"last_updated": "2016-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "009876",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "8128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.