Active NPI
Lauren Bishop, PT, DPT
- Physical Therapist
- Summerville, SC
National Provider Identifier
1700617743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12480
- Practice address
- 10160 Dorchester Rd.
Summerville, SC 29485 - Phone
- (843) 851-5820
- NPI assigned
- Aug 12, 2024
- Last updated
- Mar 20, 2025
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CP042834T | VA | |
| Physical Therapist | 225100000X | 12480 | SC | Primary |
Addresses
Primary practice location
10160 Dorchester Rd.
Summerville, SC 29485
Mailing address
PO Box 749303
Atlanta, GA 30374-9306
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12480 | SC | MD | Clinical Social Worker |
| CP042834T | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
815 Highway 378
Lexington, SC 29072
Phone (803) 359-5533
1510 Ribaut Rd
Port Royal, SC 29935
Phone (843) 524-3241
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.
-
dba Novant Health Physical Therapy
- Physical Therapist
- Port Royal, SC
- NPI 1376379818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742428800000",
"number": "1700617743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 749303",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303749306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10160 DORCHESTER RD.",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "29485",
"telephone_number": "843-851-5820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISHOP",
"first_name": "LAUREN",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-12",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "CP042834T",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "12480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.