Michael J. Lacey, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5400 Issued in SC

Practice address

3240 Sunset Blvd
West Columbia, SC 29169-3428

Phone

(803) 796-8377

Fax

(803) 796-8378

NPI assigned

Mar 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

May accept Medicare assignment

Group practices

Benchmark Healthcare Services LLCGroup PAC ID 3779726468, 136 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Benchmark Healthcare Services, LLC

  • Physical Therapist
  • Ooltewah, TN
  • NPI 1811213341

  SC

  Medicare reassignment Care Compare group NPD
• Drayer Physical Therapy-South Carolina, LLC

  • Physical Therapist
  • Columbia, SC
  • NPI 1841622354
  Medicare reassignment NPD
• Benchmark Health Services

  • Physical Therapist
  • Easley, SC
  • NPI 1457842643
  NPD
• Drayer Physical Therapy - South Carolina, LLC

  • Physical Therapist
  • Camden, SC
  • NPI 1154816833
  NPD
• Progressive Physical Therapy, P.a.

  • Physical Therapist
  • Columbia, SC
  • NPI 1093762718
  NPD (past)

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1487621173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 GOLDEN EYE CT",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290169250",
            "telephone_number": "803-767-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 SUNSET BLVD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693428",
            "telephone_number": "803-796-8377",
            "fax_number": "803-796-8378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACEY",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01093000",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberlee Ann Kyzer, PTA
• Jill L La Posta, PA
• Hunter Jordan Laag, PHARMD
• Laboratory Corporation of America Holdings
• Ritu Mehta Lacas, PHARMD
• Moses Tucker Laffitte III, M.D.
• Debra M Lagaly, APRN
• Derek E Lair, PT, DPT
• Farah Lakhram, DPM
• Asheesh Lal, M.D.

• Physical Therapist in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.