Active NPI
Kelly J Lenz, PT
- Physical Therapist
- Charleston, SC
National Provider Identifier
1891775045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9802
- Practice address
- 1836 Ashley River Rd
Charleston, SC 29407-4781 - Phone
- (854) 202-8371
- Fax
- (854) 900-4102
- NPI assigned
- Jan 21, 2006
- 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 | 9802 | SC | Primary |
Addresses
Primary practice location
1836 Ashley River Rd
Charleston, SC 29407-4781
Mailing address
1836 Ashley River Rd
Charleston, SC 29407-4781
Phone (854) 202-8371
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3650598 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9802 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cora South Carolina LLC | Current | Accepting new patients | |
| Cora South Carolina LLC | Current | Accepting new patients | |
| Cora South Carolina LLC | Current | Accepting new patients | |
| Clinton Physical Therapy Center | Physical Therapist | Past | Accepting new patients |
Locations
876 Fording Island Rd
Ste 2
Bluffton, SC 29910
Phone (843) 507-8473
851 Heckle Blvd
Ste 115
Rock Hill, SC 29730
Phone (839) 388-0908
515 Carnes Crossing Blvd
Ste B
Summerville, SC 29486
Phone (843) 507-8190
Organizations & group practices 4
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
- Bluffton, SC
- NPI 1164923355
-
- Rehabilitation Clinic/Center
- Fort Mill, SC
- NPI 1356125207
-
- Rehabilitation Clinic/Center
- Rock Hill, SC
- NPI 1831828029
-
- Hand Occupational Therapist
- Clinton, TN
- NPI 1669670030
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757376000000",
"number": "1891775045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1836 ASHLEY RIVER RD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294074781",
"telephone_number": "854-202-8371",
"fax_number": "854-900-4102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1836 ASHLEY RIVER RD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294074781",
"telephone_number": "854-202-8371",
"fax_number": "854-900-4102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENZ",
"first_name": "KELLY",
"middle_name": "J",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-21",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "9802",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3650598",
"state": "TN"
}
],
"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 Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.