Active NPI
Kenneth W. Kohler, LMT 7117 SC
- Massage Therapist
- Hilton Head Island, SC
National Provider Identifier
1861790214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7117
- Practice address
- 28 Gold Oak Dr
Hilton Head Island, SC 29926-1473 - Phone
- (843) 298-5069
- NPI assigned
- Mar 9, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 7117 | SC | Primary |
Addresses
Primary practice location
28 Gold Oak Dr
Hilton Head Island, SC 29926-1473
Mailing address
28 Gold Oak Dr
Hilton Head Island, SC 29926-1473
Phone (843) 298-5069
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7117 | Other | SC | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7117 | SC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615248000000",
"number": "1861790214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 GOLD OAK DR",
"city": "HILTON HEAD ISLAND",
"state": "SC",
"postal_code": "299261473",
"telephone_number": "843-298-5069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 GOLD OAK DR",
"city": "HILTON HEAD ISLAND",
"state": "SC",
"postal_code": "299261473",
"telephone_number": "843-298-5069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOHLER",
"first_name": "KENNETH",
"middle_name": "W.",
"name_prefix": "Mr.",
"credential": "LMT 7117 SC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-09",
"last_updated": "2021-03-09",
"certification_date": "2021-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "SC",
"license": "7117",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MT",
"identifier": "7117",
"state": "SC"
}
],
"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 Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.