Katherine Hudson, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0011933 Issued in SC

Practice address

719 Canterbury LN
MC Cormick, SC 29835-2612

Phone

(239) 209-4757

NPI assigned

Dec 14, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Katherine Kampa Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1033987482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 CANTERBURY LN",
            "city": "MC CORMICK",
            "state": "SC",
            "postal_code": "298352612",
            "telephone_number": "239-209-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 CANTERBURY LN",
            "city": "MC CORMICK",
            "state": "SC",
            "postal_code": "298352612",
            "telephone_number": "239-209-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "8236",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "PT0011933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "KAMPA",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gene E Floyd Jr., MD
• Angela Denise Gilchrist, BS
• Healthstat on-Site Clinic/Milliken McCormick
• Healthstat Onsite Clinic MVM McCormick
• Healthstat Onsite Clinic Riegel McCormick
• Lisa D Jennings, MD
• Monty Kitchens, PA-C
• Gregory T Lang, M.D.
• Karen Lessie
• Anna Mancinelli, RBT

• All providers in MC Cormick, SC
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.