Individual provider Active NPI

Stacie Marie Underwood, PT

  • Physical Therapist
  • Lexington, SC
National Provider Identifier
1235383753
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3927 Issued in SC
Practice address
102 Saluda Pointe Dr Ste G
Lexington, SC 29072-7295
Phone
(803) 296-9204
NPI assigned
Nov 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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 3927 SC Primary

Addresses

Primary practice location

102 Saluda Pointe Dr Ste G
Lexington, SC 29072-7295

Mailing address

108 Mill Haven LN
Lexington, SC 29072-8234
Phone (704) 608-2177

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

Practice roles

OrganizationSpecialtyStatusNew patients
Caromont Medical Group Inc CurrentSince Feb 1, 2016 Accepting new patients
Emergeortho PA Physical Therapist CurrentSince Aug 19, 2019 Accepting new patients
Emergeortho PA CurrentSince Aug 19, 2019 Accepting new patients
Caromont Medical Group Inc Current Accepting new patients
Caromont Medical Group Inc Physical Therapist CurrentSince Feb 1, 2016 Accepting new patients

Locations

1212 Spruce St
Ste 305D
Belmont, NC 28012
Phone (704) 671-5730

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

232 Sharon Ave NW
Lenoir, NC 28645
Phone (828) 459-6824

799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1235383753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 MILL HAVEN LN",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290728234",
            "telephone_number": "704-608-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SALUDA POINTE DR STE G",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727295",
            "telephone_number": "803-296-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "STACIE",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-11",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "3927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 30, 2025; 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.