Active NPI
Jamie Lynn Kornegay
- Physical Therapist
- Charleston, SC
National Provider Identifier
1881775286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5754
- Practice address
- 2267 Ashley River Rd
Charleston, SC 29414-4736 - Phone
- (843) 576-4121
- Fax
- (843) 793-3575
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5754 | SC | Primary |
Addresses
Primary practice location
2267 Ashley River Rd
Charleston, SC 29414-4736
Mailing address
5111 N Rhett Ave
North Charleston, SC 29405-4219
Phone (843) 576-4121
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, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2267 Ashley River Rd
Charleston, SC 29414-4736
Phone (843) 576-4121
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5754 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Love of Language | Current | Accepting new patients | |
| Rehabilitation Centers of Charleston, LLC | Physical Therapist | Past | Accepting new patients |
| Birmingham Physical Therapy & Sports Medicine Inc | Physical Therapist | Past | Accepting new patients |
| Atlanta Rehabilitation and Performance Center | Past | Accepting new patients | |
| Atlanta Rehabilitation and Performance Center | Past | Accepting new patients |
Locations
142 Sportsman Island Dr
Ste F
Charleston, SC 29492
Phone (843) 377-8820
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Charleston, SC
- NPI 1588977862
-
- Physical Therapist
- Mt Pleasant, SC
- NPI 1245241041
-
- Physical Therapy Clinic/Center
- North Charleston, SC
- NPI 1033518766
-
- Physical Therapy Clinic/Center
- Mt Pleasant, SC
- NPI 1477937662
-
- Speech-Language Pathologist
- Mt Pleasant, SC
- NPI 1184163842
-
- Physical Therapist
- Mt Pleasant, SC
- NPI 1205842762
-
- Physical Therapy Clinic/Center
- Lawrenceville, GA
- NPI 1013789205
-
- Physical Therapy Clinic/Center
- Cleveland, GA
- NPI 1982797494
-
- Physical Therapist
- Birmingham, AL
- NPI 1154426260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765843200000",
"number": "1881775286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5111 N RHETT AVE",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294054219",
"telephone_number": "843-576-4121",
"fax_number": "843-793-3575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2267 ASHLEY RIVER RD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294144736",
"telephone_number": "843-576-4121",
"fax_number": "843-793-3575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORNEGAY",
"first_name": "JAMIE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "5754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.