Christin Lake Krest, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2454 Issued in SC

Practice address

1166 Camp Creek Rd
Lancaster, SC 29720-8558

Phone

(803) 804-0440

Fax

(888) 673-5527

NPI assigned

Jun 16, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Atlas Physical Therapy Center, LLC

  • Physical Therapist
  • Lancaster, SC
  • NPI 1518474998
  NPD (past)

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1740858703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 S ELM ST",
            "city": "PAGELAND",
            "state": "SC",
            "postal_code": "297282047",
            "telephone_number": "803-834-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 CAMP CREEK RD",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297208558",
            "telephone_number": "803-804-0440",
            "fax_number": "888-673-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREST",
        "first_name": "CHRISTIN",
        "middle_name": "LAKE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "2454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "christinlakepta@gmail.com",
            "affiliation": "N",
            "address_1": "1166 Camp Creek Rd",
            "city": "Lancaster",
            "state": "SC",
            "country_code": "US",
            "postal_code": "297208558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Traci Latonya Kirk
• Michael Alexander Kithcart
• Courtnay Klee, MSP, CCC-SLP
• Kmy International, LLC
• James Eric Kohler
• KSF LLC
• Amrendra Kumar, MD
• Adam Kurdi
• Oscar Kuruvilla, M.D.
• L&R Lax, LLC

• Physical Therapy Assistant in Lancaster, SC
• Providers in Lancaster, SC by specialty
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.