Individual provider Active NPI

Gabriella Lockwood, PT

  • Physical Therapist
  • North Myrtle Beach, SC
National Provider Identifier
1376329318
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12753 Issued in SC
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

Updated by the provider on Mar 5, 2025

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 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, SC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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
Orthosc LLCGroup PAC ID 8022370030, 113 clinicians

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

LicenseStateTypeSpecialty
12753SCMDPharmacist
P22565NCMDPhysical Therapist
16032TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orthosc, LLC CurrentSince Feb 24, 2025 Accepting new patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince Aug 28, 2023 Accepting new patients
Results-Ast JV, LLC Physical Therapist CurrentSince Nov 20, 2024 Accepting new patients
Independent Physical Therapy, LLC Physical Therapist CurrentSince Nov 20, 2024 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Nov 20, 2024 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Nov 20, 2024 Accepting new patients
Orthosc, LLC CurrentSince Feb 24, 2025 Accepting new patients
Benchmark Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Aug 28, 2023 Accepting new patients
Orthosc, LLC PastSince May 29, 2022 Accepting new patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist PastSince Dec 1, 2023 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

  • FHIR API: https://api.platform.athenahealth.com/17161/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.