Kristen Kelliher, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8399 Issued in SC

Practice address

2052 River Rd Ste E
Johns Island, SC 29455-8805

Phone

(843) 900-6202

Fax

(843) 574-8858

NPI assigned

Aug 19, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC, IN2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Movement Specialists LLCGroup PAC ID 9133547425, 10 clinicians

Dynamic Equilibrium IncGroup PAC ID 4789623844, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Coastal Movement Specialists LLC

  • Physical Therapy Clinic/Center
  • Johns Island, SC
  • NPI 1780293837

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Dynamic Equilibrium, Inc.

  • Physical Therapist
  • Indianapolis, IN
  • NPI 1043332851
  Medicare reassignment Care Compare group
• RSFH - Ati Physical Therapy, LLC

  • Physical Therapist
  • Charleston, SC
  • NPI 1912378365
  Medicare reassignment NPD
• RSFH - Ati Physical Therapy, LLC

  • Durable Medical Equipment & Medical Supplies
  • North Charleston, SC
  • NPI 1689405664

  Physical Therapist

  NPD

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1124494596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2052 RIVER RD STE E",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294559043",
            "telephone_number": "843-900-6202",
            "fax_number": "843-574-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2052 RIVER RD STE E",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294558805",
            "telephone_number": "843-900-6202",
            "fax_number": "843-574-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLIHER",
        "first_name": "KRISTEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "21949",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "8399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Perdue Jordan, PHARMD
• Meaghan Alyssa Joslin, DPT
• Jessica Kansky
• Chantelle J Kapp, LMFT
• Mackenzie Kapral
• Karla Kelly, PT
• Marcia Philopena Kennedy, RPH
• Kerr Drug Inc a Delaware Company
• Kerr Drug Inc a Delaware Company
• Kiawah Village Dentistry, PA

• Physical Therapist in Johns Island, SC
• Providers in Johns Island, 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 Oct 7, 2024; 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.