Individual provider Active NPI

Mary Alison Anderson, DPT

  • Physical Therapist
  • Cayce, SC
National Provider Identifier
1811530942
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5688 Issued in SC
Practice address
3799 12TH Street Ext Ste 100
Cayce, SC 29033-3750
Phone
(803) 926-6810
Fax
(803) 926-6811
NPI assigned
Oct 22, 2019
Last updated
Oct 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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 5688 SC Primary

Addresses

Primary practice location

3799 12TH Street Ext Ste 100
Cayce, SC 29033-3750

Mailing address

PO Box 6069
West Columbia, SC 29171-6069

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address manderson96458@direct.lexmed.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200205002603 SC Practitioner - Physical Therapist in Private Practice 1658707997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

123 E Medical LN
West Columbia, SC 29169-4813
Phone (803) 791-2397

Merit-based Incentive Payment System (MIPS)

Final score
84.09 of 100Reported as group
Quality
68.87
Promoting interoperability
100
Improvement activities
40
Cost
78.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc Physical Therapist CurrentSince Feb 1, 2021 Accepting new patients
Lexington County Health Services District Inc Current Accepting new patients
Lexington Health Inc Current Accepting new patients
Lexington Health Inc CurrentSince Feb 1, 2021 Accepting new patients
Lexington County Health Services District, Inc. Past Accepting new patients

Locations

3799 12th Street Ext
Ste 100
Cayce, SC 29033
Phone (803) 926-6810

557 Columbia Ave
Ste D
Chapin, SC 29036
Phone (803) 345-1288

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

123 E Medical Ln
West Columbia, SC 29169
Phone (803) 791-2397

3799 12th Street Ext
Ste 110
West Columbia, SC 29033
Phone (803) 755-3337

Interoperability endpoints

  • Direct secure messaging: manderson96458@direct.lexmed.com

Organizations & group practices 5

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": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1811530942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6069",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291716069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3799 12TH STREET EXT STE 100",
            "city": "CAYCE",
            "state": "SC",
            "postal_code": "290333750",
            "telephone_number": "803-926-6810",
            "fax_number": "803-926-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MARY",
        "middle_name": "ALISON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "manderson96458@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "3799 12th Street Ext Ste 100",
            "city": "Cayce",
            "state": "SC",
            "country_code": "US",
            "postal_code": "290333750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cayce, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.