Individual provider Active NPI

Laura Jean Whitcomb

  • Physical Medicine & Rehabilitation Physician
  • Columbia, SC
National Provider Identifier
1518054154
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
2420 Issued in SC
Practice address
2362 Two Notch Rd
Columbia Rehabilitation Clinic
Columbia, SC 29204-2257
Phone
(803) 799-7007
Fax
(803) 256-8410
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 2420 SC Primary

Addresses

Primary practice location

2362 Two Notch Rd
Columbia Rehabilitation Clinic
Columbia, SC 29204-2257

Mailing address

2362 Two Notch Rd
Columbia Rehabilitation Clinic
Columbia, SC 29204-2257
Phone (803) 799-7007

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081002000526 SC Practitioner - Physical Therapist in Private Practice 2860560992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

75 W Wesmark Blvd
Sumter, SC 29150-1955
Phone (803) 938-5395

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2420SCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Physical Therapy and Sports Medicine Limited Partnership CurrentSince Jul 1, 2017 Accepting new patients

Locations

141 Atrium Way
Columbia, SC 29223
Phone (803) 788-8484

863 Coleman Blvd
Ste B
Mt Pleasant, SC 29464
Phone (843) 881-8887

75 W Wesmark Blvd
Sumter, SC 29150
Phone (800) 456-5857

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518054154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2362 TWO NOTCH RD",
            "address_2": "COLUMBIA REHABILITATION CLINIC",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042257",
            "telephone_number": "803-799-7007",
            "fax_number": "803-256-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2362 TWO NOTCH RD",
            "address_2": "COLUMBIA REHABILITATION CLINIC",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042257",
            "telephone_number": "803-799-7007",
            "fax_number": "803-256-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITCOMB",
        "first_name": "LAURA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SC",
            "license": "2420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.