Individual provider Active NPI

Elizabeth Thomas, PT

  • Physical Therapist
  • Florence, SC
National Provider Identifier
1376958785
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4467 Issued in SC
Practice address
2439 Willwood Dr
Florence, SC 29501-3904
Phone
(843) 777-2250
Fax
(843) 777-2250
NPI assigned
Jun 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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 4467 SC Primary

Addresses

Primary practice location

2439 Willwood Dr
Florence, SC 29501-3904

Mailing address

3236 Lakeshore Dr
Florence, SC 29501-8263
Phone (727) 798-3253

Other names 1

  • Paige Thomas Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210122000142 SC Practitioner - Physical Therapist in Private Practice 3375956808 Reassigns benefits to 1 organization
I20210304001550 NC Practitioner - Physical Therapist in Private Practice 3375956808

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Medical University of South Carolina College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Profection Therapy LLCGroup PAC ID 5597058594, 6 clinicians

Practice addresses (Care Compare)

2811 W Palmetto St
Suite D
Florence, SC 29501-5931
Phone (843) 407-7010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Profection Therapy LLC CurrentSince Mar 6, 2023 Accepting new patients

Locations

2811 W Palmetto St
Ste D
Florence, SC 29501
Phone (843) 407-7010

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1376958785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3236 LAKESHORE DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295018263",
            "telephone_number": "727-798-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2439 WILLWOOD DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295013904",
            "telephone_number": "843-777-2250",
            "fax_number": "843-777-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ELIZABETH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-24",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAIGE",
            "last_name": "THOMAS",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.