Kristen Hubbard Lane, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Practice address

142 Sportsman Island Dr Ste E
Charleston, SC 29492-8524

Phone

(843) 696-2174

NPI assigned

Aug 7, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Holy City Pediatric Therapy LLC

  • Clinic/Center
  • Daniel Island, SC
  • NPI 1639568231

  Pediatrics

  NPD

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1720633688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 SPORTSMAN ISLAND DR STE E",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294928524",
            "telephone_number": "843-696-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 SPORTSMAN ISLAND DR STE E",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294928524",
            "telephone_number": "843-696-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "KRISTEN",
        "middle_name": "HUBBARD",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "SC",
            "license": "9818",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristen@holycitypediatrictherapy.com",
            "affiliation": "N",
            "address_1": "142 Sportsman Island Dr Ste E",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294928524",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristen@holycitypediatrictherapy.com",
            "affiliation": "N",
            "address_1": "142 Sportsman Island Dr Ste E",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294928524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anna Chesson Landry, CRNA
• Mia Rhiannon Landry, M.S., BCBA
• Anastacia Lane, D.M.D
• Jacob S Lane, DO
• Jordan Lane
• Leslie Allen Lane, CPNP
• Mary Lane
• William A Lane III, LMSW
• Zegilor B Laney Jr., MD
• Pearon G Lang Jr., MD

• Pediatric Physical Therapist in Charleston, SC
• Providers in Charleston, SC by specialty
• Pediatric Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.