Individual provider Active NPI

Laura M Flint, DPT

  • Physical Therapist
  • Myrtle Beach, SC
National Provider Identifier
1689787400
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3892 Issued in SC
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
TH1084MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070430000420 SC Practitioner - Physical Therapist in Private Practice 1557467065 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Specialty Physical Therapy, LLC Physical Therapist CurrentSince Jan 1, 2004 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.

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.

Verify at the official NPI Registry.