Adam Kendig, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2510 Issued in SC

Practice address

3632 Happy Woods Court
Myrtle Beach, SC 29579

Phone

(843) 293-2246

NPI assigned

Sep 13, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284336000000",
    "number": "1619284643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 E FLINTLAKE CT",
            "address_2": "APT C",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295797543",
            "telephone_number": "716-474-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3632 HAPPY WOODS COURT",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29579",
            "telephone_number": "843-293-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDIG",
        "first_name": "ADAM",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "2510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary B Kelly, NP
• Tyler Kelly, DO
• Kemper Therapy Group LLC
• Devin A Kemper, CCC-SLP
• Jessica Kendall, ATC, LAT
• Amber Elizabeth Kendig, MS, CCC-SLP
• Kenneth T Cappuccio LLC
• Heather Kerble
• William Kerr
• Derek David Kestila, DO

• All providers in Myrtle Beach, SC
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.