Individual provider Active NPI

Orla Tess McKillop

  • Physical Therapist
  • Mount Pleasant, SC
National Provider Identifier
1831937978
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1909 N Highway 17 Ste Q
Mt Pleasant, SC 29464-7460
Phone
(843) 416-9026
Fax
(843) 531-6223
NPI assigned
Jul 15, 2024
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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 SC Primary

Addresses

Primary practice location

1909 N Highway 17 Ste Q
Mt Pleasant, SC 29464-7460

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241106001587 SC Practitioner - Physical Therapist in Private Practice 3779017264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RSFH - Ati Physical Therapy LLCGroup PAC ID 3375849946, 98 clinicians

Practice addresses (Care Compare)

1909 N Hwy 17
Suite Q
Mount Pleasant, SC 29464-7460
Phone (843) 416-9026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12421SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince Jul 22, 2024 Accepting new patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince Jul 22, 2024 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

33299 Collection Ctr Dr
Chicago, IL 60693

325 Folly Rd
Ste 107
Charleston, SC 29412
Phone (843) 762-0147

900 Island Park Dr
Ste 108
Daniel Island, SC 29492
Phone (843) 284-5285

405 Faison Rd
Ste 105
Mount Pleasant, SC 29466
Phone (843) 352-2935

1909 N Highway 17
Ste Q
Mt Pleasant, SC 29464
Phone (843) 416-9026

586 Lone Tree Dr
Mt Pleasant, SC 29464
Phone (843) 884-7880

910 Johnnie Dodds Blvd
Ste 140
Mt Pleasant, SC 29464
Phone (843) 972-0940

9241 University Blvd
Ste B1
North Charleston, SC 29406
Phone (843) 414-1140

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1831937978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 N HIGHWAY 17 STE Q",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294647460",
            "telephone_number": "843-416-9026",
            "fax_number": "843-531-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKILLOP",
        "first_name": "ORLA",
        "middle_name": "TESS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.