Active NPI
Kerri Ann Waegelein, DPT, OCS
- Physical Therapist
- Charleston, SC
National Provider Identifier
1194279406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8158
- Practice address
- 163 Rutledge Ave
Charleston, SC 29403-5816 - Phone
- (843) 480-0908
- NPI assigned
- Aug 4, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8158 | SC | Primary |
Addresses
Primary practice location
163 Rutledge Ave
Charleston, SC 29403-5816
Mailing address
1050 Woodside Dr
Charleston, SC 29412-9360
Phone (845) 242-8732
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8158 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763078400000",
"number": "1194279406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 WOODSIDE DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294129360",
"telephone_number": "845-242-8732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 RUTLEDGE AVE",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294035816",
"telephone_number": "843-480-0908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAEGELEIN",
"first_name": "KERRI",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DPT, OCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-04",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "8158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.