Individual provider Active NPI

Lynsey Aldridge Elkins, DPT

  • Physical Therapist
  • Johns Island, SC
National Provider Identifier
1356176630
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12562 Issued in SC
Practice address
2052 River Rd Ste E
Johns Island, SC 29455-9043
Phone
(843) 900-6202
NPI assigned
Sep 5, 2024
Last updated
Oct 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P23509 NC
Physical Therapist 225100000X 12562 SC Primary

Addresses

Primary practice location

2052 River Rd Ste E
Johns Island, SC 29455-9043

Mailing address

2052 River Rd Ste E
Johns Island, SC 29455-9043
Phone (843) 900-6202

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250225000903 SC Practitioner - Physical Therapist in Private Practice 5597285239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Movement Specialists LLCGroup PAC ID 9133547425, 10 clinicians

Practice addresses (Care Compare)

2052 River Rd
Suite E
Johns Island, SC 29455-8805
Phone (843) 900-6202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12562SCMDPharmacist
P23509NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Movement Specialists LLC Physical Therapist CurrentSince Dec 2, 2024 Accepting new patients

Locations

2052 River Rd
Ste E
Johns Island, SC 29455
Phone (843) 900-6202

3575 Maybank Hwy
Ste D
Johns Island, SC 29455
Phone (843) 352-4700

Organizations & group practices 1

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": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1356176630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2052 RIVER RD STE E",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294559043",
            "telephone_number": "843-900-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2052 RIVER RD STE E",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294559043",
            "telephone_number": "843-900-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKINS",
        "first_name": "LYNSEY",
        "middle_name": "ALDRIDGE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23509",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.