Kathryn Lister Proctor, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

.11282PT Issued in SC

Practice address

106 E Butler Rd Ste B
Mauldin, SC 29662-2154

Phone

(803) 500-1339

Fax

(803) 590-4400

NPI assigned

Nov 29, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Ashland, VA
  • NPI 1174591218
  NPD (past)

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1609111806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 E BUTLER RD STE B",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622154",
            "telephone_number": "803-500-1339",
            "fax_number": "803-590-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E BUTLER RD STE B",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622154",
            "telephone_number": "803-500-1339",
            "fax_number": "803-590-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 W Mineral Ave Ste 116A",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801204510",
            "country_code": "US",
            "telephone_number": "303-798-5602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Center Green Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "80301",
            "country_code": "US",
            "telephone_number": "303-413-9903",
            "fax_number": "303-413-9907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 SE Main St Ste B",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "SC",
            "postal_code": "296812651",
            "country_code": "US",
            "telephone_number": "864-967-3082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROCTOR",
        "first_name": "KATHRYN",
        "middle_name": "LISTER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-29",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": ".11282PT",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL0014974",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debbie Ann Plonkey, LMFT
• David Pons, DPT
• Tucker W Poston, PHARMD
• Joshua Powell
• Proactive MD,SC,P.a.
• Publix Super Markets Inc
• Publix Super Markets Inc
• Milca Crystal Puello
• Purdieinc, LLC
• Reena C Freeman PSYD LLC

• Physical Therapist in Mauldin, SC
• Providers in Mauldin, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.