MEDICARE: PAMELA M LANCASTER P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	P4225	NC

General Provider Information

NPI Number	:	1427065945
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA M LANCASTER P.T.

Provider Business Mailing Address
First Line	:	418 CORBETT FARM RD
Second Line	:
City	:	MACCLESFIELD
State	:	NC
Zip	:	27852-9533
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	627 E WASHINGTON ST
Second Line	:
City	:	NASHVILLE
State	:	NC
Zip	:	27856-1737
Country	:	US
Telephone Number	:	252-443-9103
Fax Number	:	252-451-9032

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	02/20/2026

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