Kelsey Sanders, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3575 Issued in SC

Practice address

5502 Memorial Blvd Unit 2
Saint George, SC 29477-2286

Phone

(843) 638-5122

Fax

(843) 638-5126

NPI assigned

Aug 30, 2021

Last updated

Aug 30, 2021By the provider in NPPES

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

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Renewal Rehabilitation Center, LLC

  • Physical Therapy Clinic/Center
  • Summerville, SC
  • NPI 1376943555
  NPD

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1346917077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5502 MEMORIAL BLVD UNIT 2",
            "city": "SAINT GEORGE",
            "state": "SC",
            "postal_code": "294772286",
            "telephone_number": "843-638-5122",
            "fax_number": "843-638-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5502 MEMORIAL BLVD UNIT 2",
            "city": "SAINT GEORGE",
            "state": "SC",
            "postal_code": "294772286",
            "telephone_number": "843-638-5122",
            "fax_number": "843-638-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "KELSEY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "3575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palmetto St. George Operating LLC (St. George Healthcare Center)
• Erin Peters, RN
• Ryan Phillips, D.M.D.
• Restore Health LLC
• Roxanne Robes, PTA
• Halie Seagrist, DMD
• Amy L Sherman
• South Carolina CVS Pharmacy LLC (CVS Pharmacy #05548)
• St George Health Care LLC (St George Healthcare Center)
• St George Med CNTR Phcy

• Physical Therapy Assistant in Saint George, SC
• Providers in Saint George, SC by specialty
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.

Verify at the official NPI Registry.