Dr. Lewis Edward Gore III, PT, DPT
Dr. Lewis Edward Gore III, PT, DPT is a Physical Therapist in Private Practice in Fairfax, South Carolina. Qualified in 2015, 11 years ago. Practices with Tidal Creek Physical Therapy LLC, a 4-clinician group and accepts Medicare assignment. Licensed in South Carolina.
- Years since qualifying
- 11
- Licensed in
- SC
- In the registry since
- 2018
What do these letters mean?
Practice location Address checks out
1787 Allendale Fairfax HwyFairfax, SC 29827-9133
Phone: (803) 632-3421
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 7872 (SC) |
|---|
Record details
| NPI number | 1811473390 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PT , DPT |
| Sole proprietor | Yes |
| NPI enumerated | July 17, 2018 |
| Last updated in NPPES | July 17, 2018 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Tidal Creek Physical Therapy Llc — 4 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Fairfax
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Katherine Borger Swearingen, PT
1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 · (803) 632-3311