Individual provider Active NPI

Krista Tomblin, DPT

  • Physical Therapist
  • Hilton Head Island, SC
National Provider Identifier
1831555820
Registry record updated Jan 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8007 Issued in SC
Practice address
811 William Hilton Pkwy
Hilton Head Island, SC 29928-3442
Phone
(843) 338-0520
NPI assigned
Jan 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 8007 SC Primary
Physical Therapist 225100000X 039704 NY

Addresses

Primary practice location

811 William Hilton Pkwy
Hilton Head Island, SC 29928-3442

Mailing address

4921 Bluffton Pkwy Apt 1025
Bluffton, SC 29910-4674
Phone (716) 969-5121

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160301001790 SC Practitioner - Physical Therapist in Private Practice 4183929011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hilton Head Physical Therapy LLCGroup PAC ID 5193094613, 2 clinicians

Practice addresses (Care Compare)

1012 William Hilton Pkwy
Suite 7
Hilton Head, SC 29928-2703
Phone (412) 952-7688

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
039704NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hilton Head Physical Therapy, LLC Physical Therapist CurrentSince Apr 1, 2020 Accepting new patients
Sea Island Rehabilitation, PA Physical Therapist CurrentSince Jun 6, 2016 Accepting new patients
Palmetto Therapy Services Physical Therapist Past Accepting new patients
Sea Island Healthcare, LLC PastSince Jun 6, 2016 Accepting new patients

Locations

1012 William Hilton Pkwy
Ste 7
Hilton Head Island, SC 29928
Phone (412) 952-7688

1251 Ladys Island Dr
Port Royal, SC 29935
Phone (843) 310-9690

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1831555820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 BLUFFTON PKWY APT 1025",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104674",
            "telephone_number": "716-969-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 WILLIAM HILTON PKWY",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299283442",
            "telephone_number": "843-338-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMBLIN",
        "first_name": "KRISTA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "8007",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039704",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; 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.