Active NPI
Kristen Michelle Masterson, DPT
- Physical Therapist
- Fort Mill, SC
National Provider Identifier
1861077067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10587
- Practice address
- 1504 Carolna Place Dr Ste 114
Fort Mill, SC 29708-7058 - Phone
- (803) 349-3449
- Fax
- (803) 753-8476
- NPI assigned
- Mar 10, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10587 | SC | Primary |
Addresses
Primary practice location
1504 Carolna Place Dr Ste 114
Fort Mill, SC 29708-7058
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Other names 1
- Kristen Michelle Masterson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1504 Carolina PL
Suite 114
Fort Mill, SC 29708-7058
Phone (803) 349-3449
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgialina Physical Therapy Associates LLC | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Past | Accepting new patients |
Locations
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
1504 Carolna Place Dr
Ste 114
Fort Mill, SC 29708
Phone (803) 349-3449
Interoperability endpoints
- kristen.masterson.p12@direct.athleticoltd.nextgenshare.com
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- North Augusta, SC
- NPI 1427164714
Physical Therapist
-
- Physical Therapist
- Elmhurst, IL
- NPI 1700130887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1861077067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 YORK RD STE 300",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1504 CAROLNA PLACE DR STE 114",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297087058",
"telephone_number": "803-349-3449",
"fax_number": "803-753-8476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTERSON",
"first_name": "KRISTEN",
"middle_name": "MICHELLE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-10",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "10587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "MASTERSON",
"middle_name": "MICHELLE",
"credential": "DPT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.