Lorraine Joan Derczo, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8669 Issued in SC

Practice address

465 W Main St
Spindale, NC 28160-1235

Phone

(828) 287-0999

Fax

(828) 287-0880

NPI assigned

Dec 27, 2006

Last updated

Feb 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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, NC2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pro Physical Therapy IncGroup PAC ID 8426946120, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pro Physical Therapy, Inc.

  • Physical Therapist
  • Columbus, NC
  • NPI 1952359010

  SC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1639235674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 SHUFORD RD",
            "city": "COLUMBUS",
            "state": "NC",
            "postal_code": "287227406",
            "telephone_number": "828-894-0277",
            "fax_number": "828-894-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 W MAIN ST",
            "city": "SPINDALE",
            "state": "NC",
            "postal_code": "281601235",
            "telephone_number": "828-287-0999",
            "fax_number": "828-287-0880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1109 E Rutherford St",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "Landrum",
            "state": "SC",
            "postal_code": "293561728",
            "country_code": "US",
            "telephone_number": "864-457-1077",
            "fax_number": "864-457-1079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DERCZO",
        "first_name": "LORRAINE",
        "middle_name": "JOAN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P21092",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "8669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Rutherford Finance Office (Rutherford County Emergency Services)
• Cathy L Cruz, CSAC
• David E Thome DDS PLLC I (Rutherford Pediatric Dentistry)
• Morgan Liborio Davis, PA-C
• Debra Schlabach, PT, LLC (CarePoint Rehab)
• Directcare Community Base Services,LLC
• Kimberly Disney
• Sharon Dobbins
• Laura Sheppard Dorsey, OTR/L
• DRS Dest Garden Hendrick & Kingsbury PLLC III (Dest Family Dentistry of Spindale)

• Physical Therapist in Spindale, NC
• Providers in Spindale, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.

Verify at the official NPI Registry.