Individual provider Active NPI

Lindy I. Popovich, PT

  • Physical Therapist
  • Hilton Head, SC
National Provider Identifier
1689729881
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5131 Issued in SC
Practice address
811 William Hilton Pkwy
Hilton Head, SC 29928-3442
Phone
(843) 842-3222
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5131 SC Primary

Addresses

Primary practice location

811 William Hilton Pkwy
Hilton Head, SC 29928-3442

Mailing address

30 Chiswick Way
Bluffton, SC 29910-8845

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200226002281 SC Practitioner - Physical Therapist in Private Practice 4082041389 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Sportscare and Physical TherapyGroup PAC ID 0648184937, 11 clinicians
Fox Rehabilitation Services of South Carolina, LLCGroup PAC ID 3971639998, 289 clinicians

Practice addresses (Care Compare)

1900 Boundary St
Suite 101
Beaufort, SC 29902-6822
Phone (843) 521-1970

800 N Lake Dr
Lexington, SC 29072-2903
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5131SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cora South Carolina LLC CurrentSince Apr 15, 2022 Accepting new patients
Cora South Carolina LLC Current Accepting new patients
Fox Rehabilitation Services of South Carolina, LLC Physical Therapist CurrentSince Jun 2, 2022 Accepting new patients
Cora South Carolina LLC CurrentSince Apr 15, 2022 Accepting new patients
Palmetto Therapy Services Physical Therapist PastSince Jan 15, 2020 Accepting new patients

Locations

876 Fording Island Rd
Ste 2
Bluffton, SC 29910
Phone (843) 507-8473

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1689729881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CHISWICK WAY",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299108845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 WILLIAM HILTON PKWY",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299283442",
            "telephone_number": "843-842-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPOVICH",
        "first_name": "LINDY",
        "middle_name": "I.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.