Active NPI
Denise Lovorn, PT
- Physical Therapist
- Myrtle Beach, SC
National Provider Identifier
1659736411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7290
- Practice address
- 210 Village Center Blvd
Myrtle Beach, SC 29579-6706 - Phone
- (843) 491-4937
- NPI assigned
- Dec 22, 2015
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225100000X | 7290 | SC | Primary |
Addresses
Primary practice location
210 Village Center Blvd
Myrtle Beach, SC 29579-6706
Mailing address
109 Breakers Drive
Apt 426
Myrtle Beach, SC 29679
Phone (630) 415-6177
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7290 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450742400000",
"number": "1659736411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 BREAKERS DRIVE",
"address_2": "APT 426",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "29679",
"telephone_number": "630-415-6177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 VILLAGE CENTER BLVD",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295796706",
"telephone_number": "843-491-4937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVORN",
"first_name": "DENISE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-22",
"last_updated": "2015-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "7290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Dec 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.