Kristin KB Hackett, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3031 Issued in SC

Practice address

220 Hasel St
Sumter, SC 29150-4506

Phone

(803) 774-5500

NPI assigned

Mar 15, 2019

Last updated

Mar 15, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sumter School District

  • Local Education Agency (LEA)
  • Sumter, SC
  • NPI 1407152531
  NPD (past)

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552608000000",
    "number": "1225597651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 HASEL ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504506",
            "telephone_number": "803-774-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 HASEL ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504506",
            "telephone_number": "803-774-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKETT",
        "first_name": "KRISTIN",
        "middle_name": "KB",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-15",
        "last_updated": "2019-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "3031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard B. Guess
• John Wallace Guilds, DC
• Annah Maria Gulledge
• Kristen Anne Guzak, DPT
• H.O.P.E. Advancement, Inc.
• Tamara Hale, LMT, CMT
• Amy Keller Hall, MCD, CCC-SLP
• Brittany Monae Hall, CNM
• Kelly Anne Hall, R.D.
• Sarah Hall, BCABA

• Physical Therapist in Sumter, SC
• Providers in Sumter, 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 Mar 15, 2019; 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.