Active NPI
Elizabeth R Staines, PT
- Physical Therapist
- Lake Wylie, SC
National Provider Identifier
1386068245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7152
- Practice address
- 410 Foilage CT
Lake Wylie, SC 29710-8838 - Phone
- (386) 872-8029
- NPI assigned
- Feb 13, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7152 | SC | Primary |
Addresses
Primary practice location
410 Foilage CT
Lake Wylie, SC 29710-8838
Mailing address
103 Hickory Mill CT
Lake Wylie, SC 29710-8805
Phone (803) 981-4394
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7152 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 3-2-1 Therapy | Physical Therapist | Current | Accepting new patients |
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.
-
- Physical Therapist
- Lake Wylie, SC
- NPI 1710520978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572825600000",
"number": "1386068245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 HICKORY MILL CT",
"city": "LAKE WYLIE",
"state": "SC",
"postal_code": "297108805",
"telephone_number": "803-981-4394",
"fax_number": "803-746-5501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 FOILAGE CT",
"city": "LAKE WYLIE",
"state": "SC",
"postal_code": "297108838",
"telephone_number": "386-872-8029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAINES",
"first_name": "ELIZABETH",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-13",
"last_updated": "2019-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "7152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Wylie, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.