Active NPI
Kristen Driesse Mason, PT
- Physical Therapist
- Simpsonville, SC
National Provider Identifier
1962607887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501
- Practice address
- 1409 W Georgia Rd
Ste C
Simpsonville, SC 29680-6419 - Phone
- (864) 454-5012
- NPI assigned
- Jun 20, 2007
- 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 | 5501 | SC | Primary |
Addresses
Primary practice location
1409 W Georgia Rd
Ste C
Simpsonville, SC 29680-6419
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Other names 1
- Kristen N Driesse
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brio Medical, PC | Current | Accepting new patients | |
| Rehabilitation Centers of Charleston, LLC | Physical Therapist | Past | Accepting new patients |
| Prisma Health University Medical Group | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
-
- Physical Therapist
- Mount Pleasant, SC
- NPI 1205842762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447027200000",
"number": "1962607887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2223",
"fax_number": "630-759-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 W GEORGIA RD",
"address_2": "STE C",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296806419",
"telephone_number": "864-454-5012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "KRISTEN",
"middle_name": "DRIESSE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-20",
"last_updated": "2015-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "5501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "DRIESSE",
"middle_name": "N",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Simpsonville, SC
- Karen Ann Martin, APRN
- Tommy Martincic, PHARMD
- Amanda Kornegay Marullo, NP-C
- Mas Ventures VII, LLC Dba Healthcare United
- Jessica Anne Masocol, M.D.
- Joan Eileen Massey, L.AC/DOM
- Hunter David Masters
- Matrix Rehabilitation Solutions, LLC
- Matrix Rehabilitation South Carolina, Inc. (Select Physical Therapy)
- Mollie Matz, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.