Active NPI
Trina L Kiernan, PT
- Physical Therapist
- Charleston, SC
National Provider Identifier
1710414743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1670
- Practice address
- 445 Savannah Hwy
Charleston, SC 29407-7207 - Phone
- (843) 766-2121
- NPI assigned
- May 22, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1670 | SC | Primary |
Addresses
Primary practice location
445 Savannah Hwy
Charleston, SC 29407-7207
Mailing address
445 Savannah Hwy
Charleston, SC 29407-7207
Phone (843) 766-2121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1670 | SC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1710414743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 SAVANNAH HWY",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294077207",
"telephone_number": "843-766-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 SAVANNAH HWY",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294077207",
"telephone_number": "843-766-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIERNAN",
"first_name": "TRINA",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-22",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "1670",
"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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.