Active NPI
Kristen Vick, DPT
- Physical Therapist
- Lexington, SC
National Provider Identifier
1861874372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7171
- Practice address
- 4721A Sunset Blvd
Lexington, SC 29072-9151 - Phone
- (803) 227-8006
- NPI assigned
- Jun 19, 2015
- 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 | 7171 | SC | Primary |
Addresses
Primary practice location
4721A Sunset Blvd
Lexington, SC 29072-9151
Mailing address
4721A Sunset Blvd
Lexington, SC 29072-9151
Other practice location 1
2720 Sunset Blvd
West Columbia, SC 29169-4810
Phone (803) 791-2000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kvick88880@direct.lexmed.com |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lexington Health Inc | Current | Accepting new patients |
Locations
811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230
123 E Medical Ln
West Columbia, SC 29169
Phone (803) 791-2155
Organizations & group practices 1
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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- West Columbia, SC
- NPI 1710634753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605052800000",
"number": "1861874372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4721A SUNSET BLVD",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290729151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4721A SUNSET BLVD",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290729151",
"telephone_number": "803-227-8006"
}
],
"practiceLocations": [
{
"address_1": "2720 Sunset Blvd",
"address_purpose": "LOCATION",
"city": "West Columbia",
"state": "SC",
"postal_code": "291694810",
"country_code": "US",
"telephone_number": "803-791-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VICK",
"first_name": "KRISTEN",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-19",
"last_updated": "2020-11-11",
"certification_date": "2020-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "7171",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kvick88880@direct.lexmed.com",
"affiliation": "N",
"address_1": "123 E Medical Ln",
"city": "West Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "291694813",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.