Individual provider Active NPI

Kaleigh Mathis

  • Physical Therapist
  • North Charleston, SC
National Provider Identifier
1487372041
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P21539 Issued in NC
Practice address
5401 Netherby LN Ste 302
North Charleston, SC 29420-7363
Phone
(843) 225-5211
Fax
(843) 225-5513
NPI assigned
Aug 19, 2022
Last updated
Nov 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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 P21539 NC Primary

Addresses

Primary practice location

5401 Netherby LN Ste 302
North Charleston, SC 29420-7363

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

1040 Southgate Corporate Park SW
Hickory, NC 28602-1518
Phone (828) 358-3115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.49 of 100Reported as group
Quality
89.43
Improvement activities
40
Cost
74.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P21539NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Therapy Network Physical Therapist CurrentSince Aug 1, 2022 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Nov 20, 2023 Accepting new patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince Aug 14, 2023 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Nov 20, 2023 Accepting new patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince Aug 14, 2023 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

33205 Collection Ctr Dr
Chicago, IL 60693

33299 Collection Ctr Dr
Chicago, IL 60693

1040 Southgate Corporate Park SW
Hickory, NC 28602
Phone (828) 358-3115

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

5401 Netherby Ln
Ste 300
North Charleston, SC 29420
Phone (843) 225-5211

5401 Netherby Ln
Ste 302
North Charleston, SC 29420
Phone (843) 225-5211

8950 University Blvd
Ste 200A
North Charleston, SC 29406
Phone (843) 414-1140

9241 University Blvd
Ste B1
North Charleston, SC 29406
Phone (843) 414-1140

10879 Clemson Blvd
Seneca, SC 29678
Phone (864) 482-0085

Organizations & group practices 5

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": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1487372041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 NETHERBY LN STE 302",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294207363",
            "telephone_number": "843-225-5211",
            "fax_number": "843-225-5513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1040 Southgate Corporate Park SW",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286021518",
            "country_code": "US",
            "telephone_number": "828-358-3115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "KALEIGH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P21539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.