Active NPI
Brindis Nicole Lundberg, DPT, PT
- Physical Therapist
- Rock Hill, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13306
- Practice address
- 1317 Ebenezer Rd
Rock Hill, SC 29732-2336 - Phone
- (803) 207-8177
- Fax
- (803) 207-8130
- NPI assigned
- Nov 18, 2024
- 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 | 13306 | SC | Primary |
Addresses
Primary practice location
1317 Ebenezer Rd
Rock Hill, SC 29732-2336
Mailing address
1317 Ebenezer Rd
Rock Hill, SC 29732-2336
Phone (803) 207-8177
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, SC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1317 Ebenezer Rd
Rock Hill, SC 29732-2336
1531 Crestdale Rd
Rock Hill, SC 29732-1474
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13306 | SC | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mission Rehabilitation and Sports Medicine Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Mission Rehabilitation and Sports Medicine Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Revo Rehab, Inc | Physical Therapist | Current | Accepting new patients |
Locations
727 Dilworth Ln
Ste 202
Rock Hill, SC 29732
Phone (803) 327-8655
1317 Ebenezer Rd
Rock Hill, SC 29732
Phone (803) 207-8177
12413 Judson Rd
Ste 260
Live Oak, TX 78233
Phone (210) 656-7953
7390 Barlite Blvd
Ste 310
San Antonio, TX 78224
Phone (210) 534-7953
3875 E Southcross Blvd
Ste B
San Antonio, TX 78222
Phone (210) 337-7953
Organizations & group practices 3
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.
-
- Physical Therapist
- San Antonio, TX
- NPI 1053559443
-
- Physical Therapist
- Cibolo, TX
- NPI 1497225973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1699590356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1317 EBENEZER RD",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297322336",
"telephone_number": "803-207-8177",
"fax_number": "803-207-8130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1317 EBENEZER RD",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297322336",
"telephone_number": "803-207-8177",
"fax_number": "803-207-8130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNDBERG",
"first_name": "BRINDIS",
"middle_name": "NICOLE",
"credential": "DPT, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-18",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "13306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.