Individual provider Active NPI

Kimberly Kirby Filyaw

  • Physical Therapy Assistant
  • Pawley's Island, SC
National Provider Identifier
1346967528
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
P411 Issued in SC
Practice address
120 Lakes at Litchfield Dr
Pawleys Island, SC 29585-9001
Phone
(843) 235-9393
NPI assigned
Oct 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X P411 SC Primary

Addresses

Primary practice location

120 Lakes at Litchfield Dr
Pawleys Island, SC 29585-9001

Mailing address

1013 Durham CT
Murrells Inlet, SC 29576-5761
Phone (843) 504-1607

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P411SCMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1346967528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 DURHAM CT",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765761",
            "telephone_number": "843-504-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LAKES AT LITCHFIELD DR",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295859001",
            "telephone_number": "843-235-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILYAW",
        "first_name": "KIMBERLY",
        "middle_name": "KIRBY",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "P411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawley's Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.

Verify at the official NPI Registry.