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

Lynn S Destefano, PT

Individual provider Physical Therapist · NPI 1699794164

Lynn S Destefano, PT is a Physical Therapist in Private Practice in Charleston, South Carolina. Qualified in 1989, 37 years ago. Practices with Olympic Physical Therapy LLC, a 10-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
37
Licensed in
SC
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1 Bishop Gadsden Way
Charleston, SC 29412-3506
Phone: (843) 406-6302
Fax: (843) 406-6540
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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 1480 (SC)

Record details

NPI number1699794164
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 18, 2006
Last updated in NPPESApril 18, 2017

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Olympic Physical Therapy Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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