SOUTHERN LAKES THERAPY LLC
NPI 1700212420
Physical Therapist in Manning, SC
About Southern Lakes Therapy Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN LAKES THERAPY LLC (NPI 1700212420) is a healthcare organization registered as a physical therapist in Manning, South Carolina and active in the NPI registry since September 2013. The organization lists Heather Johnson Goff, Coowner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southern Lakes Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Southern Lakes Therapy LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Southern Lakes Therapy LLC's NPI number?
The NPI number for Southern Lakes Therapy LLC is 1700212420. It was assigned to this organization in the NPPES registry on September 26, 2013.
Where is Southern Lakes Therapy LLC located?
Southern Lakes Therapy LLC is located at 297 W Boyce St, Manning, SC 29102. The listed phone number is (803) 433-9001.
What is Southern Lakes Therapy LLC's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Southern Lakes Therapy LLC enrolled in Medicare?
Yes. Southern Lakes Therapy LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Lakes Therapy LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Southern Lakes Therapy LLC, in Occupational Therapist in Private Practice, Physical Therapist in Private Practice and Qualified Speech Language Pathologist. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Southern Lakes Therapy LLC accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare list Southern Lakes Therapy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Southern Lakes Therapy LLC was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.