Pee Dee Physical Therapy, Inc.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

PEE DEE PHYSICAL THERAPY, INC.

Practice address

414 West Main St
Lake City, SC 29560

Phone

(843) 374-7378

Fax

(843) 374-7379

NPI assigned

Jul 6, 2006

Last updated

Dec 29, 2011By 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

Mrs. Cheryl Kirby Walter, RPTNPI 1649345414

Title

Physical Therapist Owner

Phone

(843) 374-7378

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cheryl K Walter, RPT

  • Physical Therapist
  • Lake City, SC
  • NPI 1649345414
  NPD (past) Authorized official
• James David Clark, PTA

  • Physical Therapy Assistant
  • Lake City, SC
  • NPI 1285845362
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1225069040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 608",
            "address_2": "414 WEST MAIN ST",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "29560",
            "telephone_number": "843-374-7378",
            "fax_number": "843-374-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 WEST MAIN ST",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "29560",
            "telephone_number": "843-374-7378",
            "fax_number": "843-374-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEE DEE PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "WALTER",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "KIRBY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST OWNER",
        "authorized_official_telephone_number": "843-374-7378",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3314",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Parsons Companion Care, LLC
• Jameel Pearson
• Pee Dee Diabetic Consultants,LLC
• Pee Dee Mental Health
• Pee Dee Mental Health Center
• Pee Deediabetic Consultants
• Alice Washington Peterson, LMT
• Andrea Phillips, DPT
• Piggly Wiggly Lake City Inc (price wise pharmacy # 48)
• Piggly Wiggly Lake City Inc (Piggly Wiggly Pharmacy)

• Physical Medicine & Rehabilitation Physician in Lake City, SC
• Providers in Lake City, SC by specialty
• Physical Medicine & Rehabilitation Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.