Shelly Lain Barber, MPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

4815 Issued in SC

Practice address

245 Stone Pond Way
Seneca, SC 29678-5746

Phone

(864) 256-7010

NPI assigned

May 14, 2008

Last updated

Mar 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Life Strides Physical Therapy and Rehabilitation Limited PartnershipGroup PAC ID 2860498656, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Life Strides Physical Therapy and Rehabilitation Limited Partnership

  • Physical Therapist
  • West Union, SC
  • NPI 1053323402
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1740457191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 STONE POND WAY",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296785746",
            "telephone_number": "864-256-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 STONE POND WAY",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296785746",
            "telephone_number": "864-256-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBER",
        "first_name": "SHELLY",
        "middle_name": "LAIN",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "SC",
            "license": "4815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH1494",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elise Barbara Babineau, NP
• Andrea Babinski, PT
• Balanced Life Wellness
• Diwas Bam
• Chianti Banks
• Barbara Jane Barker, LISW
• Lynn Campbell Barker, PTA
• Mollie C Barrow, PT
• Mary Elizabeth Baskins, FNP-C
• Hollie Bates

• Pediatric Physical Therapist in Seneca, SC
• Providers in Seneca, SC by specialty
• Pediatric Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.