Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Lundy

Individual provider Physical Therapist · NPI 1871378042

Jack Lundy is a Physical Therapist in Private Practice in Charleston, South Carolina. Qualified in 2023, 3 years ago. Practices with Agilitas USA, Inc, a 810-clinician group.

Years since qualifying
3
In the registry since
2023
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Practice location Address checks out

334 E Bay St Unit J
Charleston, SC 29401-1592
Phone: (843) 203-6562
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1871378042
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 28, 2023
Last updated in NPPESAugust 28, 2023
Certification dateAugust 28, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Agilitas Usa, Inc — 810 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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