Active NPI
Wendy Christine Lamb, LPTA
- Physical Therapy Assistant
- Indian Land, SC
National Provider Identifier
1639645963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2263
- Practice address
- 1099 Edgewater Corporate Pkwy
Indian Land, SC 29707-4516 - Phone
- (704) 460-0616
- NPI assigned
- Oct 14, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2263 | SC | Primary |
Addresses
Primary practice location
1099 Edgewater Corporate Pkwy
Indian Land, SC 29707-4516
Mailing address
1906 Bellflower Dr
Fort Mill, SC 29715-7313
Phone (704) 460-0616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2263 | SC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539475200000",
"number": "1639645963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1906 BELLFLOWER DR",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297157313",
"telephone_number": "704-460-0616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1099 EDGEWATER CORPORATE PKWY",
"city": "INDIAN LAND",
"state": "SC",
"postal_code": "297074516",
"telephone_number": "704-460-0616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMB",
"first_name": "WENDY",
"middle_name": "CHRISTINE",
"credential": "LPTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-14",
"last_updated": "2018-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "SC",
"license": "2263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indian Land, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.