Elizabeth M Lundin, PT, DPT
Physical Therapist in Lake Wylie, SC. Individual provider (NPI-1).
NPI number1811240153
StatusActive
Last updated in NPPESDec 5, 2017
Details
- NPI
- 1811240153
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Elizabeth M Lundin
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 24, 2012
- Last updated
- Dec 5, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 7725 | SC | Yes |
| 225100000X | Physical Therapist | 1218856 | TX | |
| 225100000X | Physical Therapist | P15516 | NC |
Practice location
4543 Charlotte Hwy Ste 11Lake Wylie, SC 29710-7057
Phone 803-831-1454
Mailing address
12215 Royal Tern DrCharlotte, NC 28278-6963
Phone 828-279-3956
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 31 Physical Therapist providers in Lake Wylie · All 144 providers in Lake Wylie
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