Individual provider Active NPI

Katelyn Jolley

  • Physical Therapist
  • Greer, SC
National Provider Identifier
1962268540
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1488 W Wade Hampton Blvd
Greer, SC 29650-1167
Phone
(864) 469-0562
NPI assigned
Feb 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1488 W Wade Hampton Blvd
Greer, SC 29650-1167

Mailing address

1312 Old Barnwell Rd
West Columbia, SC 29170-3410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240426002706 SC Practitioner - Physical Therapist in Private Practice 6002256831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PT Solutions of Acworth LLCGroup PAC ID 0042291817, 17 clinicians

Practice addresses (Care Compare)

1488 W Wade Hampton Blvd
Greer, SC 29650-1167
Phone (864) 469-0562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
PT Solutions of Acworth LLC Physical Therapist CurrentSince Mar 4, 2024 Accepting new patients
PT Solutions of Acworth LLC Physical Therapist Current Accepting new patients
PT Solutions of Acworth LLC Physical Therapist CurrentSince Mar 4, 2024 Accepting new patients

Locations

1322 E Washington St
Ste B1
Greenville, SC 29607
Phone (864) 729-4081

3919 S Highway 14
Greenville, SC 29615
Phone (864) 234-0491

1488 W Wade Hampton Blvd
Greer, SC 29650
Phone (864) 469-0562

1225 Knox Ave
Unit 100
North Augusta, SC 29841
Phone (843) 800-8345

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1962268540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 OLD BARNWELL RD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291703410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1488 W WADE HAMPTON BLVD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501167",
            "telephone_number": "864-469-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLLEY",
        "first_name": "KATELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.

Verify at the official NPI Registry.