Individual provider Active NPI

Katie B Palmer, PT

  • Orthopedic Physical Therapist
  • Summerville, SC
National Provider Identifier
1699384297
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
12647 Issued in SC
Practice address
300 N Cedar St Ste C1
Summerville, SC 29483-6435
Phone
(804) 754-5697
NPI assigned
Jul 29, 2020
Last updated
Feb 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 12647 SC Primary

Addresses

Primary practice location

300 N Cedar St Ste C1
Summerville, SC 29483-6435

Mailing address

3003 Vista CT
Summerville, SC 29485-6241
Phone (804) 754-5697

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201031000034 VA Practitioner - Physical Therapist in Private Practice 2163832288 Reassigns benefits to 1 organization
I20250110002049 SC Practitioner - Physical Therapist in Private Practice 2163832288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renewal Therapeutics LLCGroup PAC ID 0749711091, 3 clinicians

Practice addresses (Care Compare)

3516 S Live Oak Dr
Unit a
Moncks Corner, SC 29461-8762
Phone (843) 899-1411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12647SCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Above Physical Therapy LLC Orthopedic CurrentSince Apr 1, 2024 Accepting new patients
Kinetix Physical Therapy and Wellness Current Accepting new patients
Renewal Therapeutics LLC Orthopedic CurrentSince Nov 18, 2024 Accepting new patients
Progress Rehabilitation Network, LLC Past Accepting new patients

Locations

3516 S Live Oak Dr
Unit A
Moncks Corner, SC 29461
Phone (843) 899-1411

1655 Cane Bay Blvd
#B
Summerville, SC 29486
Phone (843) 719-7473

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1699384297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 VISTA CT",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294856241",
            "telephone_number": "804-754-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N CEDAR ST STE C1",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836435",
            "telephone_number": "804-754-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "KATIE",
        "middle_name": "B",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "SC",
            "license": "12647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.