Active NPI
Karlye Fader Cappelmann, DPT
- Physical Therapist
- Charleston, SC
National Provider Identifier
1306385596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8491
- Practice address
- 325 Folly Rd Ste 107
Charleston, SC 29412-2507 - Phone
- (843) 762-0147
- Fax
- (843) 762-0421
- NPI assigned
- Feb 21, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 8491 | SC | Primary |
Addresses
Primary practice location
325 Folly Rd Ste 107
Charleston, SC 29412-2507
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Other practice location 1
586 Lone Tree Dr
Mount Pleasant, SC 29464-8170
Phone (843) 884-7880
Other names 1
- Karlye Fader
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 |
|---|---|---|---|
| 8491 | SC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1306385596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 FOLLY RD STE 107",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294122507",
"telephone_number": "843-762-0147",
"fax_number": "843-762-0421"
}
],
"practiceLocations": [
{
"address_1": "586 Lone Tree Dr",
"address_purpose": "LOCATION",
"city": "Mount Pleasant",
"state": "SC",
"postal_code": "294648170",
"country_code": "US",
"telephone_number": "843-884-7880",
"fax_number": "843-884-7880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAPPELMANN",
"first_name": "KARLYE",
"middle_name": "FADER",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "8491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KARLYE",
"last_name": "FADER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.