Active NPI
Karlie Mohun, PT, DPT, ATC
- Physical Therapist
- Beaufort, SC
National Provider Identifier
1225604622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT015199
- Practice address
- 990 Ribaut Rd
Beaufort, SC 29902-8011 - Phone
- (843) 522-5899
- NPI assigned
- May 27, 2021
- Last updated
- May 27, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT015199 | GA | Primary |
Addresses
Primary practice location
990 Ribaut Rd
Beaufort, SC 29902-8011
Mailing address
211 Edgewater Rd Apt 32
Savannah, GA 31406-5326
Phone (530) 386-3176
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 |
|---|---|---|---|
| PT015199 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optim Orthopedics, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Optim Orthopedics
- Orthopaedic Surgery Physician
- Midway, GA
- NPI 1821639758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622073600000",
"number": "1225604622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 EDGEWATER RD APT 32",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314065326",
"telephone_number": "530-386-3176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "990 RIBAUT RD",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299028011",
"telephone_number": "843-522-5899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHUN",
"first_name": "KARLIE",
"credential": "PT, DPT, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-27",
"last_updated": "2021-05-27",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT015199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaufort, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.