Individual provider Active NPI

Kacie Pollard, PT

  • Physical Therapist
  • Beaufort, SC
National Provider Identifier
1407309289
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8282 Issued in SC
Practice address
6 Pleasant Place CT
Beaufort, SC 29907-1187
Phone
(843) 252-1810
Fax
(843) 521-0908
NPI assigned
Jul 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 8282 SC Primary

Addresses

Primary practice location

6 Pleasant Place CT
Beaufort, SC 29907-1187

Mailing address

6 Pleasant Place CT
Beaufort, SC 29907-1187
Phone (843) 252-1810

Other identifiers 1

IdentifierTypeStateIssuer
8282OtherSCLICENSE

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Rehab and Wellness Resources, LLC Physical Therapist CurrentSince Jan 5, 2022 Accepting new patients

Locations

20098 Ashbrook Pl
Ste 190
Ashburn, VA 20147
Phone (571) 223-0410

44160 Scholar Plz
Ste 390
Leesburg, VA 20176
Phone (703) 789-0367

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1407309289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PLEASANT PLACE CT",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299071187",
            "telephone_number": "843-252-1810",
            "fax_number": "843-521-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PLEASANT PLACE CT",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299071187",
            "telephone_number": "843-252-1810",
            "fax_number": "843-521-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLARD",
        "first_name": "KACIE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "8282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "8282",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.