Source Linguistics Physical Therapy -Rehabilitation Center

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1581 Issued in SC

Legal business name

SOURCE LINGUISTICS PHYSICAL THERAPY -REHABILITATION CENTER

Practice address

111 N Matthews Rd
Lake City, SC 29560-2309

Phone

(843) 394-5618

Fax

(843) 394-5618

NPI assigned

Jul 29, 2018

Last updated

Jul 24, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Harry L Montgomery

Title

Administrator

Phone

(843) 206-9325

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1532822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1184102535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 ELMGROVE AVE",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295066312",
            "telephone_number": "843-206-9325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N MATTHEWS RD",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602309",
            "telephone_number": "843-394-5618",
            "fax_number": "843-394-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOURCE LINGUISTICS PHYSICAL THERAPY -REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-29",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "843-206-9325"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "1581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephaney Smith-Rose
• Charlie Dorn Smith III, MD
• Kristine Dashonna Smith
• Lena Smith, RN
• Margaret Harvell Soles, CCC-SLP
• South Carolina CVS Pharmacy LLC (CVS Pharmacy # 03863)
• Amanda Nache Spates
• Dominique Sophia Destiny Speaks, FNP
• Courtney Gibbs Stanley, PA
• Steele Hearing

• Physical Therapist in Lake City, SC
• Providers in Lake City, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.