Katelyn Abernathy
Individual provider Active NPI Physical Therapist · Charleston, SC
NPI 1124802491 · NPPES record last updated Aug 18, 2023
Key facts
- NPI
- 1124802491
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11894 (SC)
- Practice address
- 742 Wexford Rd
Charleston, SC 29414-5470 - Phone
- (980) 219-1911
- NPI assigned
- Aug 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11894 | SC | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11894 | SC | Yes |
Addresses
Primary practice location
742 Wexford Rd
Charleston, SC 29414-5470
Mailing address
742 Wexford Rd
Charleston, SC 29414-5470
Phone (980) 219-1911
Other providers in Charleston, SC
- Mohamed Abdelwahab
- Line Abdul Rahman
- Anne S Abel
- Mary Elizabeth Abel
- Elizabeth Rhodes McBride Abernathy
- John F. Abess
- Hala Joe Abisamra
- Izabela Bernardeta Abissi
- Amanda Nicole Ablan
- Alexa Aboudaram
All providers in Charleston, SC · Physical Therapist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.