Individual provider Active NPI

Stacey E Lawrimore, PT, DPT

  • Physical Therapist
  • Hemingway, SC
National Provider Identifier
1760599427
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2078 Issued in SC
Practice address
401 N Main St
Suite B
Hemingway, SC 29554-9191
Phone
(843) 558-4830
Fax
(843) 558-7752
NPI assigned
Aug 25, 2006
Last updated
Aug 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2078 SC Primary

Addresses

Primary practice location

401 N Main St
Suite B
Hemingway, SC 29554-9191

Mailing address

401 N Main St
Suite B
Hemingway, SC 29554-9191
Phone (843) 558-4830

Other identifiers 1

IdentifierTypeStateIssuer
TH0363MedicaidSC

Other names 1

  • Mrs. Stacey L Howell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230329002237 SC Practitioner - Physical Therapist in Private Practice 0840208278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Medical University of South Carolina College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Three Rivers Therapy Associates, IncGroup PAC ID 6709893209, 2 clinicians

Practice addresses (Care Compare)

401 N Main St
Suite B
Hemingway, SC 29554-9106
Phone (843) 558-4830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Three Rivers Therapy Associates, Inc. Physical Therapist CurrentSince Apr 30, 2003 Accepting new patients

Locations

401 N Main St
Ste B
Hemingway, SC 29554
Phone (843) 558-4830

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.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1760599427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N MAIN ST",
            "address_2": "SUITE B",
            "city": "HEMINGWAY",
            "state": "SC",
            "postal_code": "295549191",
            "telephone_number": "843-558-4830",
            "fax_number": "843-558-7752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N MAIN ST",
            "address_2": "SUITE B",
            "city": "HEMINGWAY",
            "state": "SC",
            "postal_code": "295549191",
            "telephone_number": "843-558-4830",
            "fax_number": "843-558-7752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRIMORE",
        "first_name": "STACEY",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "2078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH0363",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "HOWELL",
            "middle_name": "L",
            "prefix": "MRS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hemingway, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.