Active NPI
Laura M Flint, DPT
- Physical Therapist
- Myrtle Beach, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3892
- Practice address
- 325 Wellness Dr
Myrtle Beach, SC 29579-6708 - Phone
- (843) 650-4461
- Fax
- (843) 903-6109
- NPI assigned
- Aug 16, 2006
- Last updated
- Nov 16, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | 3892 | SC | |
| Physical Therapist | 225100000X | 3892 | SC | Primary |
Addresses
Primary practice location
325 Wellness Dr
Myrtle Beach, SC 29579-6708
Mailing address
P O Box 1356
Murrells Inlet, SC 29576-1356
Phone (843) 650-4461
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TH1084 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
325 Wellness Dr
Unit B
Myrtle Beach, SC 29579-6708
Phone (843) 651-7513
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialty Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
5276 Highway 17 Business
Murrells Inlt, SC 29576
Phone (843) 651-7513
5276 Highway 17 Business
#B
Murrells Inlt, SC 29576
Phone (843) 650-4461
325 Wellness Dr
Myrtle Beach, SC 29579
Phone (843) 450-7632
325 Wellness Dr
Unit B
Myrtle Beach, SC 29579
Phone (843) 651-7513
Organizations & group practices 1
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.
-
- Physical Therapist
- Myrtle Beach, SC
- NPI 1427274489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700092800000",
"number": "1689787400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 1356",
"city": "MURRELLS INLET",
"state": "SC",
"postal_code": "295761356",
"telephone_number": "843-650-4461",
"fax_number": "843-651-3102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 WELLNESS DR",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295796708",
"telephone_number": "843-650-4461",
"fax_number": "843-903-6109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLINT",
"first_name": "LAURA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-16",
"last_updated": "2023-11-16",
"certification_date": "2023-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "SC",
"license": "3892",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "3892",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TH1084",
"state": "SC"
}
],
"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 Nov 16, 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.