Kimberley Wallace Cain, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

1227 Issued in SC

Practice address

6 Keystone Cir
Abbeville, SC 29620-5265

Phone

(864) 223-2500

NPI assigned

Jun 12, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1851653166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 KEYSTONE CIR",
            "city": "ABBEVILLE",
            "state": "SC",
            "postal_code": "296205265",
            "telephone_number": "864-223-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 KEYSTONE CIR",
            "city": "ABBEVILLE",
            "state": "SC",
            "postal_code": "296205265",
            "telephone_number": "864-223-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIN",
        "first_name": "KIMBERLEY",
        "middle_name": "WALLACE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "SC",
            "license": "1227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca G Botts, P.A.C.
• Bowen Family Eyecare, P.a.
• Leland Harold Bowen, O.D.
• Karen Boyd-Tatum, MASTER'S COUNSELOR
• Marissa Diane Brown Busbee, MS, OTR/L
• Camille Mason MD PA
• Patti Campbell, R.N.
• Shirley Campbell, CRTT
• Kacy Pearman Cardarelli, OTR/L
• Carolina Bone and Joint Clinic

• All providers in Abbeville, SC
• Pediatric Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.