Raymond Phillip Laspada, MPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

9238 Issued in SC

Practice address

1581 Culbertson Ave
Myrtle Beach, SC 29577-1885

Phone

(609) 458-1744

Fax

(843) 712-1580

NPI assigned

Nov 28, 2018

Last updated

Jun 27, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Therapy Consortium Inc.

  • Speech-Language Pathologist
  • Myrtle Beach, SC
  • NPI 1467611756

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1558831966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1581 CULBERTSON AVE",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295771885",
            "telephone_number": "609-458-1744",
            "fax_number": "843-712-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 CULBERTSON AVE",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295771885",
            "telephone_number": "609-458-1744",
            "fax_number": "843-712-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASPADA",
        "first_name": "RAYMOND",
        "middle_name": "PHILLIP",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-28",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "9238",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "SC",
            "license": "9238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth Larue, DO
• Peyton Larus
• Andrea Lary, CCC-SLP
• Alice Paige Lasek, MA, LPC
• Bianca Nicole Laspada
• David Latham, DMD
• Christopher J Latvis, DDS
• Henry K. Lau, DO, FAAFP
• Samuel Lauer
• Megan Ilene Laughrey, MD

• Pediatric Physical Therapist in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Pediatric Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.