Active NPI
Elizabeth Poer Lee, PT, DPT
- Physical Therapist
- Myrtle Beach, SC
National Provider Identifier
1891320677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- .9604
- Practice address
- 1286 Ficus Dr
Myrtle Beach, SC 29579-8495 - Phone
- (919) 614-2912
- NPI assigned
- Mar 11, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | .9604 | SC | Primary |
Addresses
Primary practice location
1286 Ficus Dr
Myrtle Beach, SC 29579-8495
Mailing address
1286 Ficus Dr
Myrtle Beach, SC 29579-8495
Other practice location 1
3620 Stevens St
Loris, SC 29569-2953
Phone (843) 716-7106
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9604 | SC | MD | Pediatrics Physician |
| .9604 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Weston Group of South Carolina Inc | Physical Therapist | Current | Accepting new patients |
| Kemper Therapy Group LLC | Current | Accepting new patients |
Locations
872 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 347-3050
990 Highway 90
Conway, SC 29526
Phone (843) 640-5522
3736 Robert M Grissom Pkwy
Myrtle Beach, SC 29577
Phone (843) 448-9300
Organizations & group practices 2
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.
-
- Physical Therapist
- Bluffton, SC
- NPI 1073957064
-
- Hearing and Speech Clinic/Center
- Myrtle Beach, SC
- NPI 1659015428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583884800000",
"number": "1891320677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1286 FICUS DR",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295798495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1286 FICUS DR",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295798495",
"telephone_number": "919-614-2912"
}
],
"practiceLocations": [
{
"address_1": "3620 Stevens St",
"address_purpose": "LOCATION",
"city": "Loris",
"state": "SC",
"postal_code": "295692953",
"country_code": "US",
"telephone_number": "843-716-7106",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "ELIZABETH",
"middle_name": "POER",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-11",
"last_updated": "2020-03-11",
"certification_date": "2020-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": ".9604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.