Organization Active NPI

Healing Journey LLC

  • Physical Therapist
  • Surfside Beach, SC
National Provider Identifier
1902560428
Registry record updated Oct 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HEALING JOURNEY LLC
Practice address
1665 Glenns Bay Rd
Surfside Beach, SC 29575-4836
Phone
(843) 798-0013
NPI assigned
Oct 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2021

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

Authorized official

Name
Dr. Nicole Lampo, DPT, CLWTNPI 1487929279
Title
Doctor of Physical Therapy
Phone
(843) 267-6698

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1665 Glenns Bay Rd
Surfside Beach, SC 29575-4836

Mailing address

1733 Boyne Dr
Myrtle Beach, SC 29588-7846
Phone (843) 267-6698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220127001610 SC Part B Supplier - Clinic/Group Practice 6305238114 Receives reassigned benefits from 1 practitioner
Practice locations: Surfside Beach, SC
O20240828003405 SC DME Supplier - Physician - Physical and Rehabilitation 6305238114 Practice locations: Surfside Beach, SC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635552000000",
    "number": "1902560428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1733 BOYNE DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295887846",
            "telephone_number": "843-267-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 GLENNS BAY RD",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295754836",
            "telephone_number": "843-798-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING JOURNEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-30",
        "last_updated": "2021-10-30",
        "certification_date": "2021-10-30",
        "status": "A",
        "authorized_official_last_name": "LAMPO",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "843-267-6698",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, CLWT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surfside Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2021; 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.

Verify at the official NPI Registry.