Organization Active NPI

M Ken Hedrick PC

  • Physical Therapist
  • Simpsonville, SC
National Provider Identifier
1598820524
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3686 Issued in SC
Legal business name
M KEN HEDRICK PC
Practice address
201 E Curtis St
Simpsonville, SC 29681-2678
Phone
(864) 275-0669
Fax
(864) 967-3166
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. M Ken Hedrick, MPT
Title
Physical Therapist Owner
Phone
(864) 275-0669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 3686 SC Primary

Addresses

Primary practice location

201 E Curtis St
Simpsonville, SC 29681-2678

Mailing address

19 Brookhaven Way
Simpsonville, SC 29681-1983
Phone (864) 275-0669

Other names 1

  • hedrick rehabilitation Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1598820524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BROOKHAVEN WAY",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296811983",
            "telephone_number": "864-275-0669",
            "fax_number": "864-976-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E CURTIS ST",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296812678",
            "telephone_number": "864-275-0669",
            "fax_number": "864-967-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M KEN HEDRICK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "HEDRICK",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "KEN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST  OWNER",
        "authorized_official_telephone_number": "864-275-0669",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "3686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "hedrick rehabilitation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.