Live Oaks Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1369 Issued in SC

Legal business name

LIVE OAKS PHYSICAL THERAPY

Practice address

8084 E Main St
Suite a
Ridgeland, SC 29936-8599

Phone

(843) 717-2400

Fax

(843) 717-2500

NPI assigned

May 28, 2006

Organization subpart

No

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

Authorized official

Name

Allyson Graves Bensch, PTNPI 1417052440

Title

President

Phone

(843) 717-2400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Live Oaks Physical Therapy Other name

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allyson Graves Bensch, PT

  • Physical Therapist
  • Ridgeland, SC
  • NPI 1417052440
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317340800000",
    "number": "1720035462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8084 E MAIN ST STE A",
            "address_2": "SUITE A",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299368667",
            "telephone_number": "843-717-2400",
            "fax_number": "843-717-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8084 E MAIN ST",
            "address_2": "SUITE A",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299368599",
            "telephone_number": "843-717-2400",
            "fax_number": "843-717-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE OAKS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2011-09-30",
        "status": "A",
        "authorized_official_last_name": "BENSCH",
        "authorized_official_first_name": "ALLYSON",
        "authorized_official_middle_name": "GRAVES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-717-2400",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "1369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1369",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Live Oaks Physical Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lori A. Lee, DNP
• Stacy Leo, LISW-CP
• Amanda Mary Levinson, LPC-A
• Life Lifts LLC
• Lincare Inc.
• Danielle Long, MASSAGE THERAPIST
• Robin Carroll Lonscak, PHARMD
• Low Country Surgical Assistants LLC
• Lowcountry Compounding Pharmacy
• Gregory Samuel Lula, RPH

• Physical Therapist in Ridgeland, SC
• Providers in Ridgeland, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; 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.

Verify at the official NPI Registry.