Landon B Amick, DPT

Individual provider Active NPI Physical Therapist · Columbia, SC

NPI 1740535772 · NPPES record last updated Oct 8, 2020

Key facts

NPI
1740535772
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
6777 (SC)
Practice address
6439 Garners Ferry Rd
Columbia, SC 29209-1638
Phone
(803) 776-4000
NPI assigned
Jul 16, 2012
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
6777SCMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6777 SC Yes

Addresses

Primary practice location

6439 Garners Ferry Rd
Columbia, SC 29209-1638

Mailing address

6439 Garners Ferry Rd
Columbia, SC 29209-1638
Phone (803) 776-4000

Other practice location 1

2720 Sunset Blvd
West Columbia, SC 29169-4810
Phone (803) 791-2000

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address lamick95749@direct.lexmed.com

Other providers in Columbia, SC

All providers in Columbia, SC · Physical Therapist in South Carolina

Sources for this page

Verify at the official NPI Registry.