KC Ann Lejarde Macaspac

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

4633 Issued in SC

Practice address

116 Springhall Dr Ste a
Goose Creek, SC 29445-5372

Phone

(843) 330-4496

Fax

(843) 212-4951

NPI assigned

Feb 20, 2025

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

Practice roles

Locations

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.

• Movement Systems Physical Therapy & Fitness, LLC

  • Physical Therapy Clinic/Center
  • Charleston, SC
  • NPI 1043887565

  Orthopedic

  NPD

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1245036243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 ELBERTON AVE",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294454427",
            "telephone_number": "843-568-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 SPRINGHALL DR STE A",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294455372",
            "telephone_number": "843-330-4496",
            "fax_number": "843-212-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACASPAC",
        "first_name": "KC ANN",
        "middle_name": "LEJARDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "SC",
            "license": "4633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mardi Lee Luoma, MA, LPC, LAC
• Kendall Barkley Lusher, OTR/L
• Erica D Lyles, RDH
• Jessica A Lyons, DPT
• Tamara L Lyons
• Timothy Macon, SFIDC
• Katherine Marie Maher, PT, DPT
• Michael Majetic, ADV
• Rachel Maki
• Valerie Malizzia, DPT

• All providers in Goose Creek, SC
• Orthopedic Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.

Verify at the official NPI Registry.