LIGHTHOUSE THERAPEUTICS (NPI# 1831646629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831646629 |
| Entity Type | Organization |
| Organization Name | LIGHTHOUSE THERAPEUTICS |
| Practice Address |
2 Plaza Dr Lugoff SC 29078-9385 |
| Mailing Address |
Po Box 1238 Lugoff SC 29078-1238 |
| Practice Telephone | 8039004020 |
| Practice Fax Number | 8037539362 |
| Mailing Telephone | 8039004020 |
| Mailing Fax Number | 8037539362 |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2016-09-08 |
| Authorized Official Name | MS. DEIDRA M GLOVER (OWNER) |
| Authorized Official Telephone | 8039004020 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | LIGHTHOUSE THERAPEUTICS INC. | 21 Lilac Lane, Ridge, Ny 11961 |
| Street Address |
2 PLAZA DR |
| City | LUGOFF |
| State | SC |
| Zip Code | 29078-9385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407205073 | Mandi Hamilton | Physical Therapy Assistant | 2 Plaza Dr, Lugoff, SC 29078-9385 | 2016-06-06 |
| 1013192764 | Cynthia W May | Counselor | 2 Plaza Dr, Lugoff, SC 29078-9385 | 2007-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477006179 | Retireease Senior Services, Inc. | In Home Supportive Care | 12 Dooley Drive, Lugoff, SC 29078 | 2016-07-28 |
| 1770613515 | Claude Harold Varn Jr. | Dentist | P.0.box 325, Lugoff, SC 29078 | 2007-03-07 |
| 1316087364 | Ark Therapeutic Services, Inc | Speech-Language Pathologist | 862a Highway 1 South, Lugoff, SC 29078 | 2007-02-07 |
| 1326104837 | Allyson Varn Monferdini | Dentist | 25 Ward Road, Lugoff, SC 29078 | 2006-12-29 |
| 1275612269 | Wateree Plaza Drug Corp | Durable Medical Equipment & Medical Supplies | 1053 Hwy 1, Patterson Plaza, Lugoff, SC 29078 | 2006-11-02 |
| 1336589233 | Matthew Allen Nettles | Dentist | 25 Ward Road, Lugoff, SC 29078 | 2013-06-25 |
| 1316214638 | Lynnette Glasscho Tomlin | Physician Assistant | 15 Exchange Dr, Lugoff, SC 29078 | 2011-12-01 |
| 1013124429 | Debra C Lowsky | Speech-Language Pathologist | 862a Highway 1 South, Lugoff, SC 29078 | 2007-05-16 |
| 1285826396 | Durham Russell Maples | Chiropractor | 810 Ridgeway Road, Lugoff, SC 29078-0248 | 2007-08-13 |
| 1508059403 | Dina Maples Blankenship | Chiropractor | 810 Ridgeway Road, Lugoff, SC 29078-0248 | 2007-08-23 |
| Find all providers in zip 29078 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164057048 | Proactive Therapy of South Carolina Inc | Clinic/Center | 2114 Highway 41 Ste 104, Mount Pleasant, SC 29466-6204 | 2020-03-11 |
| 1073157673 | Physiotherapy Associates, Inc. | Clinic/Center | 334 E Martintown Rd Unit 3, North Augusta, SC 29841-4261 | 2019-11-06 |
| 1265073241 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 5232 Sunset Blvd Ste B, Lexington, SC 29072-9347 | 2019-10-01 |
| 1366008955 | Cora South Carolina LLC | Clinic/Center | 515 Carnes Crossing Blvd Ste B, Summerville, SC 29486-0412 | 2019-05-20 |
| 1013573849 | Ace Physio & Wellness LLC | Clinic/Center | 3031 Marlin Rd, Johns Island, SC 29455-3904 | 2019-05-16 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1215492129 | Cora South Carolina LLC | Clinic/Center | 2724 W Palmetto St Ste 2, Florence, SC 29501-4909 | 2019-02-05 |
| 1316421571 | Cora South Carolina LLC | Clinic/Center | 1907 N Highway 17 Ste 102, Mount Pleasant, SC 29464-9604 | 2018-09-24 |
| 1881177855 | Cora South Carolina LLC | Clinic/Center | 5625 Rivers Ave, North Charleston, SC 29406-6022 | 2018-09-14 |
| 1649751173 | Halcyon Rehabilitation, LLC | Clinic/Center | 2 Griffith Rd, Greenville, SC 29607-3503 | 2018-08-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.