Active NPI
Kristin Spivey
- Physical Therapy Assistant
- Florence, SC
National Provider Identifier
1538580295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 3036
- Practice address
- 555 E Cheves St
Florence, SC 29506-2617 - Phone
- (843) 777-6700
- NPI assigned
- Dec 26, 2013
- Last updated
- Dec 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 3036 | SC | Primary |
Addresses
Primary practice location
555 E Cheves St
Florence, SC 29506-2617
Mailing address
2038 Hwy. 41 South
Lake View, SC 29563
Phone (843) 506-3137
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3036 | SC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388016000000",
"number": "1538580295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2038 HWY. 41 SOUTH",
"city": "LAKE VIEW",
"state": "SC",
"postal_code": "29563",
"telephone_number": "843-506-3137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 E CHEVES ST",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295062617",
"telephone_number": "843-777-6700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPIVEY",
"first_name": "KRISTIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-26",
"last_updated": "2013-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "SC",
"license": "3036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.