Individual provider Active NPI

Kevin O Hatchell, PT

  • Physical Therapist
  • Florence, SC
National Provider Identifier
1982711735
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3663 Issued in SC
Practice address
401 2ND Loop Rd Ste a
Florence, SC 29505-2815
Phone
(843) 669-3665
Fax
(843) 669-3706
NPI assigned
Aug 25, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 3663 SC Primary

Addresses

Primary practice location

401 2ND Loop Rd Ste a
Florence, SC 29505-2815

Mailing address

401 N Main St
Hemingway, SC 29554-9191
Phone (843) 558-4830

Other identifiers 1

IdentifierTypeStateIssuer
GP2473MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181022002190 SC Practitioner - Physical Therapist in Private Practice 2466704531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Medical University of South Carolina College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmetto Physical Therapy and Wellness CenterGroup PAC ID 2567693914, 4 clinicians

Practice addresses (Care Compare)

2015 W Evans St
Suite F
Florence, SC 29501-3392
Phone (843) 432-2506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Physical Therapy and Wellness Center Physical Therapist CurrentSince Jul 1, 2018 Accepting new patients
Three Rivers Therapy Associates, Inc. Physical Therapist Past Accepting new patients

Locations

2015 W Evans St
Ste F
Florence, SC 29501
Phone (843) 432-2504

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1982711735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N MAIN ST",
            "city": "HEMINGWAY",
            "state": "SC",
            "postal_code": "295549191",
            "telephone_number": "843-558-4830",
            "fax_number": "843-558-7752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 2ND LOOP RD STE A",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295052815",
            "telephone_number": "843-669-3665",
            "fax_number": "843-669-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATCHELL",
        "first_name": "KEVIN",
        "middle_name": "O",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "3663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2473",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.