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

Lacey Powell

Individual provider Physical Therapist · NPI 1114601473

Lacey Powell is registered under Physical Therapist in Private Practice in Myrtle Beach, South Carolina. Qualified in 2023, 3 years ago. Practices with Back in Form Physical Therapy Inc, a 5-clinician group and accepts Medicare assignment.

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

108 Debo Dr Ste 130
Myrtle Beach, SC 29579-4918
Phone: (843) 796-2850
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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 number1114601473
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 14, 2023
Last updated in NPPESJune 14, 2023
Certification dateJune 14, 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 Back In Form Physical Therapy Inc. — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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 patients127
Services billed 2,861 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

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 Back in Form Physical Therapy Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 5 clinicians in the practice; 3 are shown here.

Other providers in Myrtle Beach