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Southern Lakes Therapy LLC

Physical Therapist in Manning, SC · enumerated 2013 · authorized official Heather Goff, Coowner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1700212420

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Registry record

Entity type Organization (Type 2)
Legal business name Southern Lakes Therapy LLC
Practice address 297 W Boyce St, Manning, SC, 29102
Fax (803) 433-9001
Enumeration date Sep 26, 2013
Last updated in NPPES Aug 12, 2025

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 5485 (SC) Primary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 4166 (SC) Secondary
225200000X Physical Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 1236 (SC) Secondary
225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers Secondary

Authorized official

Name Heather Goff
Title Coowner

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Southern Lakes Therapy LLC?
The NPI for Southern Lakes Therapy LLC is 1700212420, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Southern Lakes Therapy LLC?
NPPES lists Heather Goff (Coowner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-08-12.