Active NPI
Marin Sarah Kelly
- Physical Therapist
- West Columbia, SC
National Provider Identifier
1326964321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT.13579
- Practice address
- 125 State St
West Columbia, SC 29169-7557 - Phone
- (803) 973-5053
- NPI assigned
- Jun 25, 2026
- Last updated
- Oct 5, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT.13579 | SC | Primary |
| Physical Therapist | 225100000X | LPT-034845 | AZ | |
| Physical Therapist | 225100000X | PT-2026-0153 | NM |
Addresses
Primary practice location
125 State St
West Columbia, SC 29169-7557
Mailing address
2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Other practice location 1
5660 W Cortaro Farms Rd Ste 108
Tucson, AZ 85742-9800
Phone (520) 462-6167
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2001 Butterfield Rd
Suite 1600
Downers Grove, IL 60515-1058
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPT-034845 | AZ | MD | Physical Therapist |
| PT-2026-0153 | NM | MD | Physical Therapist |
| PT.13579 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791158400000",
"number": "1326964321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 BUTTERFIELD RD STE 1600",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 STATE ST",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291697557",
"telephone_number": "803-973-5053"
}
],
"practiceLocations": [
{
"address_1": "5660 W Cortaro Farms Rd Ste 108",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857429800",
"country_code": "US",
"telephone_number": "520-462-6167",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KELLY",
"first_name": "MARIN",
"middle_name": "SARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-25",
"last_updated": "2026-10-05",
"certification_date": "2026-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "PT.13579",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-034845",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "PT-2026-0153",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.