Individual provider Active NPI

Kathryn Holloway Warmack, P.T.A.

  • Physical Therapy Assistant
  • Inman, SC
National Provider Identifier
1356540611
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
926 Issued in SC
Practice address
63 Blackstock Rd
Inman, SC 29349-1835
Phone
(864) 472-9055
NPI assigned
Jul 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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 926 SC Primary

Addresses

Primary practice location

63 Blackstock Rd
Inman, SC 29349-1835

Mailing address

63 Blackstock Rd
Inman, SC 29349-1835
Phone (864) 472-9055

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

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1356540611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 BLACKSTOCK RD",
            "city": "INMAN",
            "state": "SC",
            "postal_code": "293491835",
            "telephone_number": "864-472-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 BLACKSTOCK RD",
            "city": "INMAN",
            "state": "SC",
            "postal_code": "293491835",
            "telephone_number": "864-472-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARMACK",
        "first_name": "KATHRYN",
        "middle_name": "HOLLOWAY",
        "name_prefix": "Mrs.",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inman, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.