Active NPI
Kristin L Heter
- Physical Therapist
- North Myrtle Beach, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9372
- Practice address
- 1424 Highway 17 N Ste 2
North Myrtle Beach, SC 29582-2507 - Phone
- (843) 427-7132
- Fax
- (843) 427-7154
- NPI assigned
- Apr 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 32683 | CA | |
| Physical Therapist | 225100000X | P14185 | NC | |
| Physical Therapist | 225100000X | 9372 | SC | Primary |
Addresses
Primary practice location
1424 Highway 17 N Ste 2
North Myrtle Beach, SC 29582-2507
Mailing address
1200 Corporate Dr Ste 400
Birmingham, AL 35242-5424
Phone (423) 682-8840
Other practice location 1
902 N Howe St
Southport, NC 28461-3038
Phone (910) 457-4789
Other practice location 2
6278 Beach Dr SW Ste 114
Ocean Isle Beach, NC 28469-3670
Phone (910) 579-3900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1424 Hwy 17 N
Suite 2
North Myrtle Beach, SC 29582-2507
Phone (843) 427-7132
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9372 | SC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benchmark Physical Therapy of North Carolina LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Health Services | Physical Therapist | Current | Accepting new patients |
| Emergeortho PA | Current | Accepting new patients | |
| Benchmark Physical Therapy of NC, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Healthcare Services, LLC | Physical Therapist | Current | Accepting new patients |
| Emergeortho PA | Physical Therapist | Current | Accepting new patients |
| Benchmark Health Services, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy of NC, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
2819 Midway Rd SE
Ste 114
Bolivia, NC 28422
Phone (910) 253-6930
120 William Penn Plz
Durham, NC 27704
Phone (919) 281-1836
10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894
6278 Beach Dr SW
Ste 114
Ocean Isle Beach, NC 28469
Phone (910) 579-3900
902 N Howe St
Southport, NC 28461
Phone (910) 457-4789
3787 Shipyard Blvd
Wilmington, NC 28403
Phone (910) 341-2444
2716 Ashton Dr
Wilmington, NC 28412
Phone (910) 332-1534
1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058
7955 N Kings Hwy
Ste 330
Myrtle Beach, SC 29572
Phone (843) 945-1815
1424 Highway 17 N
Unit 2
North Myrtle Beach, SC 29582
Phone (843) 427-7132
Organizations & group practices 8
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.
-
- Physical Therapist
- Easley, SC
- NPI 1457842643
-
- Physical Therapist
- North Myrtle Beach, SC
- NPI 1801399035
-
- Physical Therapist
- Leland, NC
- NPI 1588189112
-
- Physical Therapist
- Bolivia, NC
- NPI 1588194955
-
- Durable Medical Equipment & Medical Supplies
- Eden, NC
- NPI 1841170222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542672000000",
"number": "1194782920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-682-8840",
"fax_number": "423-602-2028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1424 HIGHWAY 17 N STE 2",
"city": "NORTH MYRTLE BEACH",
"state": "SC",
"postal_code": "295822507",
"telephone_number": "843-427-7132",
"fax_number": "843-427-7154"
}
],
"practiceLocations": [
{
"address_1": "902 N Howe St",
"address_purpose": "LOCATION",
"city": "Southport",
"state": "NC",
"postal_code": "284613038",
"country_code": "US",
"telephone_number": "910-457-4789",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6278 Beach Dr SW Ste 114",
"address_purpose": "LOCATION",
"city": "Ocean Isle Beach",
"state": "NC",
"postal_code": "284693670",
"country_code": "US",
"telephone_number": "910-579-3900",
"fax_number": "910-579-3905",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HETER",
"first_name": "KRISTIN",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2018-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "32683",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P14185",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "9372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; 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.