Individual provider Active NPI

Annika Hedlund, PT

  • Physical Therapist
  • North Charleston, SC
National Provider Identifier
1093448490
Registry record updated Apr 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12787 Issued in SC
Practice address
4105 Faber Place Dr Ste 420
North Charleston, SC 29405-8594
Phone
(843) 894-7374
Fax
(843) 278-8599
NPI assigned
Jul 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12787 SC Primary
Physical Therapist 225100000X 1362788 TX

Addresses

Primary practice location

4105 Faber Place Dr Ste 420
North Charleston, SC 29405-8594

Mailing address

4105 Faber Place Dr Ste 420
North Charleston, SC 29405-8594
Phone (843) 894-7374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12787SCMDCardiovascular Disease Physician
1362788TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kidscare Home Health of South Carolina, LLC CurrentSince Apr 20, 2025 Accepting new patients

Locations

4105 Faber Place Dr
Ste 420
North Charleston, SC 29405
Phone (843) 894-7347

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744502400000",
    "number": "1093448490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 FABER PLACE DR STE 420",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294058594",
            "telephone_number": "843-894-7374",
            "fax_number": "843-278-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 FABER PLACE DR STE 420",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294058594",
            "telephone_number": "843-894-7374",
            "fax_number": "843-278-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDLUND",
        "first_name": "ANNIKA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2025-04-13",
        "certification_date": "2025-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12787",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1362788",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2025; 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.