Active NPI
Gabriella Lockwood, PT
- Physical Therapist
- North Myrtle Beach, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12753
- Practice address
- 1621 Highway 17 N
North Myrtle Beach, SC 29582-2229 - Phone
- (843) 353-3460
- Fax
- (843) 353-3461
- NPI assigned
- Sep 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12753 | SC | Primary |
| Physical Therapist | 225100000X | P22565 | NC |
Addresses
Primary practice location
1621 Highway 17 N
North Myrtle Beach, SC 29582-2229
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 497-0005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, TN, SC
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230914003088 | NC | Practitioner - Physical Therapist in Private Practice | 6305200965 | Reassigns benefits to 1 organization |
| I20241226000369 | TN | Practitioner - Physical Therapist in Private Practice | 6305200965 | Reassigns benefits to 3 organizations |
| I20250305001582 | SC | Practitioner - Physical Therapist in Private Practice | 6305200965 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1621 Hwy 17 N
North Myrtle Beach, SC 29582-2229
Phone (843) 353-3460
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12753 | SC | MD | Pharmacist |
| P22565 | NC | MD | Physical Therapist |
| 16032 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthosc, LLC | Current | Accepting new patients | |
| Benchmark Physical Therapy of NC, LLC | Physical Therapist | Current | Accepting new patients |
| Results-Ast JV, LLC | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Agilitas USA, Inc | Physical Therapist | Current | Accepting new patients |
| Agilitas USA Inc | Physical Therapist | Current | Accepting new patients |
| Orthosc, LLC | Current | Accepting new patients | |
| Benchmark Physical Therapy of North Carolina LLC | Physical Therapist | Current | Accepting new patients |
| Orthosc, LLC | Past | Accepting new patients | |
| Advance Rehabilitation & Consulting Limited Partnership | Physical Therapist | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894
2026 Waterscape Way
Ste 13
New Bern, NC 28562
Phone (252) 288-6925
2376 Cypress Cir
Ste 300
Conway, SC 29526
Phone (843) 347-7222
210 Village Center Blvd
Ste 140
Myrtle Beach, SC 29579
Phone (843) 333-8385
1621 Highway 17 N
North Myrtle Beach, SC 29582
Phone (843) 335-3346
6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923
1011 Winn Way
Ste 110
Clarksville, TN 37043
Phone (931) 368-9082
1202 N Charles G Seivers Blvd
Ste A
Clinton, TN 37716
Phone (865) 457-0192
3493 Veterans Dr N
Ste D
Huntingdon, TN 38344
Phone (731) 209-4444
5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630
2030 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 968-1080
Interoperability endpoints
- https://api.platform.athenahealth.com/17161/brand/1/csg/1/fhir/r4
- gabriella.lockwood.1@17161.direct.athenahealth.com
Organizations & group practices 10
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.
-
- Physical Therapist
- Ooltewah, TN
- NPI 1356894604
NC, Physical Therapist
-
- Physical Therapist
- Chattanooga, TN
- NPI 1104878354
-
- Physical Therapist
- Franklin, TN
- NPI 1780291948
-
- Orthopaedic Surgery Physician
- Conway, SC
- NPI 1275369787
-
- Physical Therapist
- Leland, NC
- NPI 1588189112
-
- Orthopaedic Surgery Physician
- North Myrtle Beach, SC
- NPI 1568100691
-
- Durable Medical Equipment & Medical Supplies
- Jasper, GA
- NPI 1164115671
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1376329318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-497-0005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1621 HIGHWAY 17 N",
"city": "NORTH MYRTLE BEACH",
"state": "SC",
"postal_code": "295822229",
"telephone_number": "843-353-3460",
"fax_number": "843-353-3461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKWOOD",
"first_name": "GABRIELLA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-06",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "12753",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P22565",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.