In Shape Physical Therapy & Wellness Center LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

4461 Issued in SC

Legal business name

IN SHAPE PHYSICAL THERAPY & WELLNESS CENTER LLC

Practice address

5432A Augusta Rd.
Lexington, SC 29072-3892

Phone

(803) 622-6540

NPI assigned

Aug 5, 2007

Last updated

Aug 5, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dana BurgessNPI 1578754735

Title

P.T.

Phone

(803) 622-6540

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 5

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.

• Dana Michelle Burgess, P.T.

  • Physical Therapist
  • Lexington, SC
  • NPI 1578754735
  Medicare reassignment NPD Authorized official
• Hannah Elaine Horton, DPT

  • Physical Therapist
  • Columbia, SC
  • NPI 1356010219

  Physical Therapy

  NPD
• Kathy Lynn Biggs, PT

  • Physical Therapist
  • Lexington, SC
  • NPI 1942569264
  NPD (past)
• Sonya Lane, PT

  • Physical Therapist
  • Lexington, SC
  • NPI 1598058315
  NPD (past)
• Laura Ufford, PTA

  • Physical Therapy Assistant
  • Lexington, SC
  • NPI 1659664472
  NPD (past)

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1619168879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5432A AUGUSTA RD.",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290723892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5432A AUGUSTA RD.",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290723892",
            "telephone_number": "803-622-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN SHAPE PHYSICAL THERAPY & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "P.T.",
        "authorized_official_telephone_number": "803-622-6540"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "SC",
            "license": "4461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myra Ann Hutto
• Chelsea Iglesias, ATC
• Julia Igoe
• Imc of South Carolina
• Impact Clinical Consulting, LLC
• Tishiro Patriss Inabinet, MA
• Robert Ingle, MSED, ATC
• Chelsie Leigh Ingram, PA
• Kaitlyn Marie Ingram, M.S, NCC
• Inspire Speech and Feeding LLC

• Physical Therapy Clinic/Center in Lexington, SC
• Providers in Lexington, 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 Aug 5, 2007; 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.