Kathleen Elizabeth Nikoukary

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11833 Issued in SC

Practice address

100 Okatie Center Blvd N
Okatie, SC 29909-3750

Phone

(843) 547-4058

Fax

(866) 500-4565

NPI assigned

Jun 2, 2023

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 names 1

• Kathleen Brodeur Former name

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Compass RehabilitationGroup PAC ID 9537382338, 10 clinicians

Benchmark Healthcare Services LLCGroup PAC ID 3779726468, 136 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Benchmark Healthcare Services, LLC

  • Physical Therapist
  • Ooltewah, TN
  • NPI 1811213341

  SC

  Medicare reassignment Care Compare group NPD
• Compass Rehabilitation

  • Physical Therapist
  • Okatie, SC
  • NPI 1205251261
  Care Compare group
• Benchmark Health Services

  • Physical Therapist
  • Easley, SC
  • NPI 1457842643
  NPD

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1104519206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 OKATIE CENTER BLVD N",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299093750",
            "telephone_number": "843-547-4058",
            "fax_number": "866-500-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OKATIE CENTER BLVD N",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299093750",
            "telephone_number": "843-547-4058",
            "fax_number": "866-500-4565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Lafayette Pl Ste A",
            "address_purpose": "LOCATION",
            "city": "Hilton Head Island",
            "state": "SC",
            "postal_code": "299262203",
            "country_code": "US",
            "telephone_number": "843-705-7483",
            "fax_number": "843-705-7411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIKOUKARY",
        "first_name": "KATHLEEN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "11833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "BRODEUR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Valerie Linette Muehleman, MS,RD, CDE
• Donna M Mumford, RPH
• National Healthcare Corporation
• Nephrology and Hypertension Medical Associates PC
• Shacola J Nieves, MSN
• Mikhail Novikov, M.D.
• Okatie Surgical Partners, LLC
• Angela Olsen, FNP
• Anna Owens
• Taylor Boyd Owens, PA-C

• Physical Therapist in Okatie, SC
• Providers in Okatie, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.