Lancaster Physical Therapy LLC.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3732 Issued in SC

Legal business name

LANCASTER PHYSICAL THERAPY LLC.

Practice address

1025 W Meeting St
Suite 106
Lancaster, SC 29720-2204

Phone

(803) 313-9300

Fax

(803) 313-9305

NPI assigned

Jul 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Marvin Salamanca Sto.Domingo, PTNPI 1467481143

Title

President

Phone

(803) 313-9300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

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

• Marvin Salamanca Sto Domingo, PT

  • Physical Therapist
  • Cheraw, SC
  • NPI 1467481143
  NPD (past) Authorized official
• Christy Datugan Dagsaan, PT

  • Physical Therapist
  • Marion, SC
  • NPI 1437263977
  NPD (past)
• Margery Hand Madison, P.T.

  • Physical Therapist
  • Aiken, SC
  • NPI 1861508400
  NPD (past)
• Jesse C. Smith Jr.

  • Physical Therapist
  • Gastonia, NC
  • NPI 1013091859
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679502363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 W MEETING ST",
            "address_2": "SUITE 106",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202204",
            "telephone_number": "803-313-9300",
            "fax_number": "803-313-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 W MEETING ST",
            "address_2": "SUITE 106",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202204",
            "telephone_number": "803-313-9300",
            "fax_number": "803-313-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER PHYSICAL THERAPY LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STO.DOMINGO",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "SALAMANCA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-313-9300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "3732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3547",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lancaster Hospital Corporation
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• Lancaster Imaging Center LLC
• Lancaster One Medical PA
• Lancaster Radiological Associates PA
• Lancaster Surgical Associates, P.a.
• Lancaster Treatment Specialists, LLC
• Lancaster Women's Center,P.a.
• Lancaster Youth Leadership & Development Program

• Physical Therapist in Lancaster, SC
• Providers in Lancaster, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.