Active NPI
Katelyn Rose McFaddin Dean, DPT
- Physical Therapist
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP024709T
- Practice address
- 170 Kimel Park Dr
Winston Salem, NC 27103-6946 - Phone
- (336) 765-7058
- NPI assigned
- Jun 3, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10701 | SC | |
| Physical Therapist | 225100000X | 13637 | TN | |
| Physical Therapist | 225100000X | CP024709T | NC | Primary |
Addresses
Primary practice location
170 Kimel Park Dr
Winston Salem, NC 27103-6946
Mailing address
PO Box 601791
Charlotte, NC 28260-1791
Phone (336) 765-7058
Other practice location 1
311 Congress Pkwy N Ste 800
Athens, TN 37303-1697
Phone (423) 744-0890
Other practice location 2
3386 Yampa St
Sumter, SC 29150-2045
Phone (803) 233-4505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, SC
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP024709T | NC | MD | Physical Therapist |
| 13637 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agilitas USA Inc | Current | Accepting new patients | |
| Drayer Physical Therapy-South Carolina, LLC | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy - South Carolina, LLC | Physical Therapist | Current | Accepting new patients |
| Agilitas USA, Inc | Physical Therapist | Current | Accepting new patients |
| Agilitas USA Inc | Physical Therapist | Current | Accepting new patients |
| Benchmark Healthcare Services, LLC | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Health Services | Physical Therapist | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
135 Blythewood Rd
#J
Blythewood, SC 29016
Phone (803) 851-1037
1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058
7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031
3032 W Montague Ave
Ste 101
North Charleston, SC 29418
Phone (843) 885-8772
1672 N Main St
Ste 11
Summerville, SC 29486
Phone (843) 289-1456
3386 Yampa St
Sumter, SC 29150
Phone (803) 233-4505
311 Congress Pkwy N
Ste 800
Athens, TN 37303
Phone (423) 744-0890
6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923
1202 N Charles G Seivers Blvd
Ste A
Clinton, TN 37716
Phone (865) 457-0192
3493 Veterans Dr N
Ste D
Huntingdon, TN 38344
Phone (731) 209-4444
5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630
Organizations & group practices 8
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.
-
- Physical Therapist
- Columbia, SC
- NPI 1841622354
-
- Physical Therapist
- Chattanooga, TN
- NPI 1104878354
-
- Physical Therapy Clinic/Center
- Hermitage, TN
- NPI 1104068063
-
- Physical Therapist
- Easley, SC
- NPI 1457842643
-
- Physical Therapist
- Camden, SC
- NPI 1154816833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1457927030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 601791",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282601791",
"telephone_number": "336-765-7058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 KIMEL PARK DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271036946",
"telephone_number": "336-765-7058"
}
],
"practiceLocations": [
{
"address_1": "311 Congress Pkwy N Ste 800",
"address_purpose": "LOCATION",
"city": "Athens",
"state": "TN",
"postal_code": "373031697",
"country_code": "US",
"telephone_number": "423-744-0890",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3386 Yampa St",
"address_purpose": "LOCATION",
"city": "Sumter",
"state": "SC",
"postal_code": "291502045",
"country_code": "US",
"telephone_number": "803-233-4505",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEAN",
"first_name": "KATELYN",
"middle_name": "ROSE MCFADDIN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-03",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "10701",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "13637",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "CP024709T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.