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

Dr. Lewis Edward Gore III, PT, DPT

Individual provider Physical Therapist · NPI 1811473390

Dr. Lewis Edward Gore III, PT, DPT is registered under 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?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1787 Allendale Fairfax Hwy
Fairfax, 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 number1811473390
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedJuly 17, 2018
Last updated in NPPESJuly 17, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Tidal Creek Physical Therapy Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients230
Services billed 13,368 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Tidal Creek Physical Therapy LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Fairfax