Organization Active NPI

Gindi Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Lancaster, SC
National Provider Identifier
1588053250
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
5224 Issued in SC
Legal business name
GINDI PHYSICAL THERAPY, LLC
Practice address
1002 N Woodland Dr
Lancaster, SC 29720-1966
Phone
(803) 802-9390
Fax
(803) 802-9391
NPI assigned
Jan 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Authorized official

Name
Mrs. Kelly E Gindi, PT
Title
Owner
Phone
(803) 802-9390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 5224 SC Primary

Addresses

Primary practice location

1002 N Woodland Dr
Lancaster, SC 29720-1966

Mailing address

1002 N Woodland Dr
Lancaster, SC 29720-1966
Phone (803) 802-9390

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151013001349 SC Part B Supplier - Clinic/Group Practice 4082923164 Receives reassigned benefits from 1 practitioner
Practice locations: Lancaster, SC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1421452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1588053250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 N WOODLAND DR",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297201966",
            "telephone_number": "803-802-9390",
            "fax_number": "803-802-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 N WOODLAND DR",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297201966",
            "telephone_number": "803-802-9390",
            "fax_number": "803-802-9391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINDI PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-17",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "GINDI",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-802-9390",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "SC",
            "license": "5224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.