Individual provider Active NPI

Kathy L Ballowe, P.T.A.

  • Physical Therapy Assistant
  • Hilton Head Island, SC
National Provider Identifier
1184890048
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
1840 Issued in SC
Practice address
35 Bill Fries Dr
Suite K
Hilton Head Island, SC 29926-2730
Phone
(843) 785-6400
NPI assigned
May 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 1840 SC Primary

Addresses

Primary practice location

35 Bill Fries Dr
Suite K
Hilton Head Island, SC 29926-2730

Mailing address

35 Bill Fries Dr
Suite K
Hilton Head Island, SC 29926-2730
Phone (843) 785-6400

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
1840SCMDClinical Child & Adolescent Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1184890048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BILL FRIES DR",
            "address_2": "SUITE K",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262730",
            "telephone_number": "843-785-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BILL FRIES DR",
            "address_2": "SUITE K",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262730",
            "telephone_number": "843-785-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLOWE",
        "first_name": "KATHY",
        "middle_name": "L",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "1840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.