Individual provider Active NPI

Liana Marie Newell, PT, DPT

  • Physical Therapist
  • Irmo, SC
National Provider Identifier
1851738462
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7021 Issued in SC
Practice address
108 Belfair Rd
Irmo, SC 29063-8040
Phone
(803) 629-1981
Fax
(803) 825-4830
NPI assigned
May 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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 7021 SC Primary

Addresses

Primary practice location

108 Belfair Rd
Irmo, SC 29063-8040

Mailing address

108 Belfair Rd
Irmo, SC 29063-8040
Phone (803) 629-1981

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Sigurd Center for Ortho & Neuro Rehab Physical Therapist CurrentSince Mar 8, 2006 Accepting new patients
Key Changes Therapy Services, Inc Physical Therapist CurrentSince Feb 7, 2018 Accepting new patients
Medsource Inc. Past Accepting new patients
Sprout Pediatrics LLC Physical Therapist Past Accepting new patients

Locations

1900 Sunset Blvd
West Columbia, SC 29169
Phone (803) 250-6833

1311 Augusta Rd
West Columbia, SC 29169
Phone (803) 926-2919

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428364800000",
    "number": "1851738462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 BELFAIR RD",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290638040",
            "telephone_number": "803-629-1981",
            "fax_number": "803-825-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 BELFAIR RD",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290638040",
            "telephone_number": "803-629-1981",
            "fax_number": "803-825-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWELL",
        "first_name": "LIANA",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-23",
        "last_updated": "2015-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "7021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irmo, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.