Active NPI
Kelli Fitzpatrick, DPT
- Physical Therapist
- Charleston, SC
National Provider Identifier
1447656004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7581
- Practice address
- 1964 Ashley River Rd
Suite C-1
Charleston, SC 29407-4737 - Phone
- (843) 576-4121
- Fax
- (843) 793-3575
- NPI assigned
- Nov 10, 2014
- Last updated
- Apr 27, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7581 | SC | Primary |
Addresses
Primary practice location
1964 Ashley River Rd
Suite C-1
Charleston, SC 29407-4737
Mailing address
1964 Ashley River Rd
Suite C-1
Charleston, SC 29407-4737
Phone (843) 576-4121
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7581 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430092800000",
"number": "1447656004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1964 ASHLEY RIVER RD",
"address_2": "SUITE C-1",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294074737",
"telephone_number": "843-576-4121",
"fax_number": "843-793-3575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1964 ASHLEY RIVER RD",
"address_2": "SUITE C-1",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294074737",
"telephone_number": "843-576-4121",
"fax_number": "843-793-3575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZPATRICK",
"first_name": "KELLI",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-10",
"last_updated": "2015-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "7581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.