Individual provider Active NPI

Sydney Paige Vanlandingham

  • Physical Therapist
  • Lexington, SC
National Provider Identifier
1225678626
Registry record updated May 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10079 Issued in SC
Practice address
800 N Lake Dr
Lexington, SC 29072-2903
Phone
(877) 407-3422
Fax
(877) 407-4329
NPI assigned
Jan 14, 2020
Last updated
May 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10079 SC Primary

Addresses

Primary practice location

800 N Lake Dr
Lexington, SC 29072-2903

Mailing address

7 Carnegie PLZ
Cherry Hill, NJ 08003-1000
Phone (877) 407-3422

Other practice location 1

1105 12th St
Cayce, SC 29033-3304
Phone (803) 973-0100

Other names 1

  • Sydney Paige Lovelace Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200224000005 SC Practitioner - Physical Therapist in Private Practice 6406283902 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vertex PT Specialists LLCGroup PAC ID 1355640285, 18 clinicians

Practice addresses (Care Compare)

10216 Broad River Rd
Irmo, SC 29063-9679
Phone (803) 973-1717

1105 12TH St
Cayce, SC 29033-3304
Phone (803) 973-0100

1825 Laurel St
Columbia, SC 29201-2626
Phone (803) 949-5525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10079SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vertex PT Specialists, LLC Physical Therapist CurrentSince Jan 3, 2022 Accepting new patients
Fox Rehabilitation Services of South Carolina, LLC Physical Therapist CurrentSince Jan 1, 2020 Accepting new patients

Locations

7 Carnegie Plz
Cherry Hill, NJ 08003

1105 12th St
Cayce, SC 29033
Phone (803) 973-0100

1825 Laurel St
Columbia, SC 29201
Phone (803) 851-3506

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.

NPI Registry JSON

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653696000000",
    "number": "1225678626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CARNEGIE PLZ",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031000",
            "telephone_number": "877-407-3422",
            "fax_number": "877-407-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N LAKE DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722903",
            "telephone_number": "877-407-3422",
            "fax_number": "877-407-4329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 12th St",
            "address_purpose": "LOCATION",
            "city": "Cayce",
            "state": "SC",
            "postal_code": "290333304",
            "country_code": "US",
            "telephone_number": "803-973-0100",
            "fax_number": "803-973-0117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANLANDINGHAM",
        "first_name": "SYDNEY",
        "middle_name": "PAIGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2022-05-28",
        "certification_date": "2022-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "10079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYDNEY",
            "last_name": "LOVELACE",
            "middle_name": "PAIGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2022; 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.

Verify at the official NPI Registry.