Individual provider Active NPI

Sandra Melissa Lee, PT

  • Physical Therapist
  • Inman, SC
National Provider Identifier
1992855951
Registry record updated Oct 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4691 Issued in SC
Practice address
6400 Highway 9 Ste D
Inman, SC 29349-6927
Phone
(864) 699-9441
Fax
(864) 699-9279
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2017

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 4691 SC Primary

Addresses

Primary practice location

6400 Highway 9 Ste D
Inman, SC 29349-6927

Mailing address

60 Shuford Rd
Columbus, NC 28722-7406
Phone (828) 894-0277

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040224000890 SC Practitioner - Physical Therapist in Private Practice 9537055835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pro Physical Therapy IncGroup PAC ID 8426946120, 26 clinicians

Practice addresses (Care Compare)

535 Laurens Rd
Woodruff, SC 29388-2209
Phone (864) 476-6600

60 Shuford Rd
Columbus, NC 28722-7406

6400 Hwy 9
Suite D
Inman, SC 29349-6927
Phone (864) 699-9441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4691SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Physical Therapy, Inc. Physical Therapist CurrentSince Oct 16, 2017 Accepting new patients

Locations

60 Shuford Rd
Columbus, NC 28722
Phone (828) 894-0277

6400 Highway 9
Ste D
Inman, SC 29349
Phone (864) 699-9441

535 Laurens Rd
Woodruff, SC 29388
Phone (864) 476-6600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507075200000",
    "number": "1992855951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 SHUFORD RD",
            "city": "COLUMBUS",
            "state": "NC",
            "postal_code": "287227406",
            "telephone_number": "828-894-0277",
            "fax_number": "828-894-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 HIGHWAY 9 STE D",
            "city": "INMAN",
            "state": "SC",
            "postal_code": "293496927",
            "telephone_number": "864-699-9441",
            "fax_number": "864-699-9279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SANDRA",
        "middle_name": "MELISSA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2017-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inman, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; 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.