Individual provider Active NPI

Kimberly J Durst, PT

  • Physical Therapist
  • Charleston, SC
National Provider Identifier
1710058078
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4094 Issued in SC
Practice address
1812 Sam Rittenberg Blvd Ste 18
Charleston, SC 29407-4868
Phone
(843) 779-7377
Fax
(843) 779-7378
NPI assigned
Nov 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4094 SC Primary

Addresses

Primary practice location

1812 Sam Rittenberg Blvd Ste 18
Charleston, SC 29407-4868

Mailing address

800 Crescent Centre Dr Ste 600
Franklin, TN 37067-7286
Phone (615) 373-1350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160920002110 SC Practitioner - Physical Therapist in Private Practice 5991092876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Medical University of South Carolina College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Carolina Sports Medicine and Orthopaedic CenterGroup PAC ID 8527972637, 43 clinicians

Practice addresses (Care Compare)

2760 Tricom St
North Charleston, SC 29406-9169
Phone (843) 300-8585

441 Dr in LN
Suite B
Moncks Corner, SC 29461-3154
Phone (843) 789-0199

9100 Medcom St
North Charleston, SC 29406-9167

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4094SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Sports Medicine & Orthopaedic Center CurrentSince Jan 3, 2018 Accepting new patients

Locations

2760 Tricom St
North Charleston, SC 29406
Phone (843) 300-8585

9100 Medcom St
North Charleston, SC 29406
Phone (843) 569-3367

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1516/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kim.durst.1@1516.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1710058078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CRESCENT CENTRE DR STE 600",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677286",
            "telephone_number": "615-373-1350",
            "fax_number": "615-221-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 SAM RITTENBERG BLVD STE 18",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074868",
            "telephone_number": "843-779-7377",
            "fax_number": "843-779-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURST",
        "first_name": "KIMBERLY",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.