Individual provider Active NPI

Kathryn Olds, PT, DPT, MS

  • Physical Therapist
  • Greenville, SC
National Provider Identifier
1295373892
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10098 Issued in SC
Practice address
1322 E Washington St Ste B1
Greenville, SC 29607-1867
Phone
(864) 729-4081
NPI assigned
Dec 13, 2019
Last updated
Jul 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 045417 NY
Physical Therapist 225100000X 10098 SC Primary

Addresses

Primary practice location

1322 E Washington St Ste B1
Greenville, SC 29607-1867

Mailing address

1322 E Washington St Ste B1
Greenville, SC 29607-1867
Phone (864) 729-4081

Other practice location 1

187 Park St
Malone, NY 12953-1233
Phone (518) 482-2440

Other practice location 2

200 Patewood Dr Ste 250C
Greenville, SC 29615-3593
Phone (864) 454-0952

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200512001348 SC Practitioner - Physical Therapist in Private Practice 2567893381 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
045417NYMDPhysical Therapist
10098SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Feb 17, 2020 Accepting new patients
Higher Good LLC Physical Therapist CurrentSince Oct 2, 2023 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Feb 17, 2020 Accepting new patients

Locations

33205 Collection Ctr Dr
Chicago, IL 60693

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

200 Patewood Dr
Ste C250
Greenville, SC 29615
Phone (864) 454-0952

107A Aaron Tippin Dr
Greer, SC 29650
Phone (704) 360-5511

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1295373892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 E WASHINGTON ST STE B1",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296071867",
            "telephone_number": "864-729-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 E WASHINGTON ST STE B1",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296071867",
            "telephone_number": "864-729-4081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "187 Park St",
            "address_purpose": "LOCATION",
            "city": "Malone",
            "state": "NY",
            "postal_code": "129531233",
            "country_code": "US",
            "telephone_number": "518-482-2440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Patewood Dr Ste 250C",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296153593",
            "country_code": "US",
            "telephone_number": "864-454-0952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLDS",
        "first_name": "KATHRYN",
        "credential": "PT, DPT, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-13",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045417",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "10098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.