Individual provider Active NPI

Nicole Joann Lampo, DPT

  • Physical Therapist
  • Murrells Inlet, SC
National Provider Identifier
1487929279
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6663 Issued in SC
Practice address
11931 Plaza Dr
Murrells Inlet, SC 29576-9356
Phone
(843) 357-4039
Fax
(843) 357-4227
NPI assigned
Mar 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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 6663 SC Primary

Addresses

Primary practice location

11931 Plaza Dr
Murrells Inlet, SC 29576-9356

Mailing address

PO Box 1795
Murrells Inlet, SC 29576-1795
Phone (843) 357-4039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120614000823 SC Practitioner - Physical Therapist in Private Practice 8022272418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1665 Glenns Bay Rd
Surfside Beach, SC 29575-4836

1945 Glenns Bay Rd
Surfside Beach, SC 29575-4833
Phone (843) 650-1120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6663SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Journey LLC Physical Therapist CurrentSince Nov 21, 2018 Accepting new patients
JLC Rehab, Inc. Physical Therapist Past Accepting new patients

Locations

1665 Glenns Bay Rd
Surfside Beach, SC 29575
Phone (843) 215-2324

Organizations & group practices 2

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": "1331596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1487929279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1795",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295761795",
            "telephone_number": "843-357-4039",
            "fax_number": "843-357-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11931 PLAZA DR",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295769356",
            "telephone_number": "843-357-4039",
            "fax_number": "843-357-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMPO",
        "first_name": "NICOLE",
        "middle_name": "JOANN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "6663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.