Karyn Longo Congdon

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

3153 Issued in SC

Practice address

3515 Caduceus Dr
Ste a
Myrtle Beach, SC 29588-2922

Phone

(843) 293-7085

NPI assigned

Oct 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Coastal Urgent Care & Family Medicine

  • Clinic/Center
  • Pawleys Island, SC
  • NPI 1467628867
  NPD
• Coastal Wellness Center, LLC

  • Primary Care Clinic/Center
  • Myrtle Beach, SC
  • NPI 1902077266
  NPD

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1053509182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421718",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294424203",
            "telephone_number": "843-293-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 CADUCEUS DR",
            "address_2": "STE A",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295882922",
            "telephone_number": "843-293-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONGDON",
        "first_name": "KARYN",
        "middle_name": "LONGO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "SC",
            "license": "3153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "3153",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Completecare Med LLC
• Comprehensive Dentistry LLC
• Mark Conard, D.M.D.
• Douglas Conaway, M.D.
• Hanna Condrey, PHARMD
• Robert J. Coni, D.O.
• Victoria Conklin
• Connections Pediatric Therapy
• George Andrew Connell, DC
• Monica Beatrice Constantinescu, M.D.

• Pediatric Physical Therapist in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Pediatric Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.