Active NPI
Kristin Lynch, DPT
- Physical Therapist
- Fort Mill, SC
National Provider Identifier
1003163346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13735
- Practice address
- 870 Gold Hill Rd
#103
Fort Mill, SC 29708-8985 - Phone
- (803) 835-6000
- NPI assigned
- Aug 6, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13735 | NC | Primary |
| Physical Therapist | 225100000X | 7640 | SC |
Addresses
Primary practice location
870 Gold Hill Rd
#103
Fort Mill, SC 29708-8985
Mailing address
870 Gold Hill Rd
#103
Fort Mill, SC 29708-8985
Phone (803) 835-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13735 | NC | MD | Dentist |
| 7640 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proactive Therapy of North Carolina Inc | Current | Accepting new patients | |
| Proactive Therapy of North Carolina Inc | Current | Accepting new patients | |
| Select Physical Therapy Holdings Inc | Current | Accepting new patients |
Locations
10020 Edison Square Dr NW
Ste C105
Concord, NC 28027
Phone (704) 948-5351
1630 Campus Park Dr
Ste D
Monroe, NC 28112
Phone (704) 283-9422
2358 US Highway 70
Ste Ab
Swannanoa, NC 28778
Phone (828) 686-3375
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Charlotte, NC
- NPI 1568468502
-
- Physical Therapy Clinic/Center
- Charlotte, NC
- NPI 1669432175
-
- Physical Therapy Clinic/Center
- Raleigh, NC
- NPI 1689679433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463011200000",
"number": "1003163346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "870 GOLD HILL RD",
"address_2": "#103",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297088985",
"telephone_number": "803-835-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "870 GOLD HILL RD",
"address_2": "#103",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297088985",
"telephone_number": "803-835-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "KRISTIN",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-06",
"last_updated": "2016-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "13735",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "7640",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.