Individual provider Active NPI

Kimberly Renee Stoltzfus, D.P.T.

  • Physical Therapist
  • Moncks Corner, SC
National Provider Identifier
1841483831
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8516 Issued in SC
Practice address
2061 Highway 52
Moncks Corner, SC 29461-5017
Phone
(843) 761-1482
Fax
(843) 761-1483
NPI assigned
Aug 22, 2007
Last updated
Aug 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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 8516 SC Primary

Addresses

Primary practice location

2061 Highway 52
Moncks Corner, SC 29461-5017

Mailing address

2061 Highway 52
Moncks Corner, SC 29461-5017
Phone (843) 761-1482

Other identifiers 8

IdentifierTypeStateIssuer
1979915OtherPAHIGHMARK PA BLUE SHIELD
000000287446OtherAMERICHOICE
30068871OtherPAKEYSTONE MERCY
306078OtherUNISON
1979915OtherPAFREEDOM BLUE
2857469000OtherPAIBC
50087547OtherPACAPITAL BLUE CROSS
101978171-0002MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180409000936 SC Practitioner - Physical Therapist in Private Practice 3870621097 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Berkeley Rehabilitation LLCGroup PAC ID 1850714379, 7 clinicians
Benchmark Healthcare Services LLCGroup PAC ID 3779726468, 136 clinicians
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

Practice addresses (Care Compare)

1954 Ashley River Rd
Suite E
Charleston, SC 29407-4904
Phone (843) 761-1480

2826 Hwy 52
Suite 330
Moncks Corner, SC 29461-5028
Phone (843) 823-4150

3032 W Montague Ave
Suite 101
North Charleston, SC 29418-7921
Phone (843) 885-8772

514 Saint James Ave
Unit G
Goose Creek, SC 29445-2767
Phone (843) 642-8660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince Aug 25, 2025 Accepting new patients
Berkeley Rehabilitation, LLC Physical Therapist CurrentSince Sep 29, 2021 Accepting new patients
Benchmark Health Services Physical Therapist CurrentSince Aug 25, 2025 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Aug 25, 2025 Accepting new patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince Mar 1, 2018 Accepting new patients
Benchmark Healthcare Services, LLC Physical Therapist CurrentSince Aug 25, 2025 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist CurrentSince Aug 25, 2025 Accepting new patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince Mar 1, 2018 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Aug 25, 2025 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

33299 Collection Ctr Dr
Chicago, IL 60693

1954 Ashley River Rd
Ste E
Charleston, SC 29407
Phone (843) 761-1480

1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058

7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031

116 Foxbank Plantation Blvd
Ste E
Moncks Corner, SC 29461
Phone (843) 761-4622

2061 Highway 52
Moncks Corner, SC 29461
Phone (843) 761-4622

2826 Highway 52
Ste 330
Moncks Corner, SC 29461
Phone (843) 823-4150

1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175

2070 Northbrook Blvd
Ste B1
North Charleston, SC 29406
Phone (843) 608-8798

3032 W Montague Ave
Ste 101
North Charleston, SC 29418
Phone (843) 885-8772

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

Organizations & group practices 9

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": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1841483831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 HIGHWAY 52",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294615017",
            "telephone_number": "843-761-1482",
            "fax_number": "843-761-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 HIGHWAY 52",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294615017",
            "telephone_number": "843-761-1482",
            "fax_number": "843-761-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLTZFUS",
        "first_name": "KIMBERLY",
        "middle_name": "RENEE",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "8516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PA BLUE SHIELD",
            "identifier": "1979915",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "000000287446",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "30068871",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "306078",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FREEDOM BLUE",
            "identifier": "1979915",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "2857469000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50087547",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101978171-0002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moncks Corner, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.