Individual provider Active NPI

Garrett King, DPT

  • Physical Therapist
  • Fort Mill, SC
National Provider Identifier
1427708536
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11214 Issued in SC
Practice address
1504 Carolna Place Dr Ste 114
Fort Mill, SC 29708-7058
Phone
(803) 349-3449
Fax
(803) 753-8476
NPI assigned
Mar 24, 2022
Last updated
Mar 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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 11214 SC Primary

Addresses

Primary practice location

1504 Carolna Place Dr Ste 114
Fort Mill, SC 29708-7058

Mailing address

1504 Carolna Place Dr Ste 114
Fort Mill, SC 29708-7058
Phone (803) 349-3449

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
11214SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgialina Physical Therapy Associates LLC Single Specialty CurrentSince Dec 15, 2025 Accepting new patients

Locations

1504 Carolna Place Dr
Ste 114
Fort Mill, SC 29708
Phone (803) 349-3449

Interoperability endpoints

  • Direct secure messaging: garrett.king.p12@direct.athleticoltd.nextgenshare.com

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

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1427708536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 CAROLNA PLACE DR STE 114",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297087058",
            "telephone_number": "803-349-3449",
            "fax_number": "803-753-8476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 CAROLNA PLACE DR STE 114",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297087058",
            "telephone_number": "803-349-3449",
            "fax_number": "803-753-8476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "GARRETT",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "11214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.