Active NPI
Lyndsay Polanski
- Physical Therapist
- Myrtle Beach, SC
National Provider Identifier
1609105220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 4201 Carolina Exchange Dr
Suite 102
Myrtle Beach, SC 29579-4221 - Phone
- (843) 455-7505
- NPI assigned
- Dec 10, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT002887 | WV | |
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
4201 Carolina Exchange Dr
Suite 102
Myrtle Beach, SC 29579-4221
Mailing address
4201 Carolina Exchange Dr
Suite 102
Myrtle Beach, SC 29579-4221
Other names 1
- Lyndsay Bonds
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1228 National Rd
Wheeling, WV 26003-5787
Phone (732) 994-3200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT002887 | WV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| At Home by Enhance Therapies LLC | Physical Therapist | Current | Accepting new patients |
Locations
400 Route 70
Lakewood, NJ 08701
Phone (732) 802-7512
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": "1260403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711584000000",
"number": "1609105220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 CAROLINA EXCHANGE DR",
"address_2": "SUITE 102",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295794221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 CAROLINA EXCHANGE DR",
"address_2": "SUITE 102",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295794221",
"telephone_number": "843-455-7505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLANSKI",
"first_name": "LYNDSAY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-10",
"last_updated": "2024-03-28",
"certification_date": "2024-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "PT002887",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LYNDSAY",
"last_name": "BONDS",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.