Liberty Physical Therapy, P.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

6979 Issued in SC

Legal business name

LIBERTY PHYSICAL THERAPY, P.C.

Practice address

616 Edgefield Rd Ste 150
North Augusta, SC 29841-6407

Phone

(803) 634-6982

NPI assigned

May 6, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Giao Lan Nguyen

Title

Secretary

Phone

(803) 634-6982

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tuan M Nguyen, P.T., OCS

  • Physical Therapist
  • North Augusta, SC
  • NPI 1053489211
  Medicare reassignment NPD

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1609211671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 EDGEFIELD RD STE 150",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298416407",
            "telephone_number": "803-634-6982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 EDGEFIELD RD STE 150",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298416407",
            "telephone_number": "803-634-6982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-06",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "GIAO",
        "authorized_official_middle_name": "LAN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "803-634-6982",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "SC",
            "license": "6979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Leonard, LAC, LPC, AADC, SAP
• Vilencia Leslie, B.A./M.A. SLT
• Dreana Lewis
• Lexus Cecilia Lewis, LISW-CP
• LHCG Clxvi, LLC
• Lincare Inc.
• Meredith A Lopez, PHARMD
• Lauren Danielle Lover, PA
• Amelia Marcella Lynch
• Alexandra Nichole Mahan, DC

• Physical Therapy Clinic/Center in North Augusta, SC
• Providers in North Augusta, SC by specialty
• Physical Therapy Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.