Nathaniel Kevin Prater, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9709 Issued in SC

Practice address

104 Mallory Dr
Goose Creek, SC 29445-6406

Phone

(843) 996-1471

Fax

(843) 808-6986

NPI assigned

Jun 4, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Centrum Therapy Services LLC

  • Physical Therapist
  • Goose Creek, SC
  • NPI 1396455515
  Medicare reassignment Care Compare group NPD
• Premier Physical Therapy

  • Physical Therapy Clinic/Center
  • Hanahan, SC
  • NPI 1154472975
  NPD (past)

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centrum Therapy Services LLC 2 clinicians

Practice addresses (Care Compare)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1013575968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1119",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294451119",
            "telephone_number": "843-996-1471",
            "fax_number": "843-808-6986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MALLORY DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294456406",
            "telephone_number": "843-996-1471",
            "fax_number": "843-808-6986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATER",
        "first_name": "NATHANIEL",
        "middle_name": "KEVIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-04",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "9709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albertha D Powell, MSW
• Tammy Powell
• PPCP Specialty Physicians , LLC
• PPCP Specialty Physicians , LLC
• PPCP Specialty Physicians , LLC
• Kathleen O Price, APRN
• William David Price, MD
• Primecare Family Practice LLC
• Ashlee Jeane' Prince
• Queen-Ella Pringle, LPC-A

• All providers in Goose Creek, SC
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.