Lee Ann Gaston, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

7580 Charlotte Hwy
Suite 500
Indian Land, SC 29707-7801

Phone

(803) 548-5662

Fax

(803) 872-7029

NPI assigned

Aug 29, 2012

Last updated

Aug 30, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Breakthrough SC LLCGroup PAC ID 1557606878, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Breakthrough SC LLC

  dba Your Life Wellness & Physical Therapy

  • Physical Therapy Clinic/Center
  • Fort Mill, SC
  • NPI 1295219616

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Your Life Wellness and Physical Therapy

  • Physical Therapy Clinic/Center
  • Indian Land, SC
  • NPI 1184973489
  Authorized official Same address or phone

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1346599867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7580 CHARLOTTE HWY",
            "address_2": "SUITE 500",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297077801",
            "telephone_number": "803-548-5662",
            "fax_number": "803-872-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7580 CHARLOTTE HWY",
            "address_2": "SUITE 500",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297077801",
            "telephone_number": "803-548-5662",
            "fax_number": "803-872-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASTON",
        "first_name": "LEE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "2342",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fresenius Medical Care Northern Lancaster, LLC (Fresenius Kidney Care Northern Lancaster)
• Marcel Christian Fromond
• Rebecca Funderburk, FNP
• James A Furse Jr., M.D.
• G. Abrams & R. Cohen S.C. 2 PC
• Ruben Gelbin, PT, DPT, MSPT, CSCS
• Michael Joseph Geoffrion, NP
• Gerry Jacob George, DMD
• Stephanie Jean Lenes George, DMD
• Jamie Lee Gerhart, RD

• Physical Therapist in Indian Land, SC
• Providers in Indian Land, 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 Aug 30, 2012; 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.