Kimberly Shull-Massey, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1095 Issued in SC

Practice address

107 Honeybee CT
Lexington, SC 29072-6963

Phone

(803) 920-6350

NPI assigned

Jan 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Novant Health Physical Therapy LLCGroup PAC ID 2769915347, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Novant Health Physical Therapy LLC

  • Physical Therapist
  • Port Royal, SC
  • NPI 1376379818
  Medicare reassignment Care Compare group NPD
• Pain Solutions Inc

  • Physical Therapy Clinic/Center
  • Columbia, SC
  • NPI 1700933066

  Physical Therapist

  NPD

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1669529947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 HONEYBEE CT",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290726963",
            "telephone_number": "803-920-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 HONEYBEE CT",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290726963",
            "telephone_number": "803-920-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULL-MASSEY",
        "first_name": "KIMBERLY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "1095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE # - KIM MASSEY",
            "identifier": "1095",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jena Sherban
• Hope Sheridan, LMT, MMP
• Samantha Shirey
• Richard B Shuler, RPH
• Shannon A. Shuler, LISW-CPS
• George Franklin Shull Jr.
• Amanda S Shumpert, PHARMD
• Maggie Shumpert
• Brianne Siciliano, CCC-SLP
• Holly Sightler

• Physical Therapist in Lexington, SC
• Providers in Lexington, 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 Nov 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.