# ACKER PHYSICAL THERAPY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245772755
- **Authorized official:** SHANNON DANESE LOTT (BILLING/CREDENTIALING MANAGER)
- **Authorized official phone:** (803) 667-1819

## Contact information

- **Practice address:** 144 LEISURE LN STE 100, COLUMBIA, SC 29210-4156
- **Practice address phone:** (803) 331-3682
- **Practice address fax:** (803) 791-3862
- **Mailing address:** 144 LEISURE LN STE 100, COLUMBIA, SC 29210-4156
- **Mailing address phone:** (803) 888-6125
- **Mailing address fax:** (803) 888-6085

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 1580 | SC | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | 5266 | SC | — |

## Other

- **Enumeration date:** 11/15/2016
- **Last updated:** 07/25/2019