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NPI · 1215184056 · NPPES-sourced

Kelly Mack Pt

ActivePediatric Physical Therapist
NPI Number
1215184056
Type 1 · Individual
Taxonomy Code
2251P0200X
Contact
(803) 749-1625
License SC · 2278
Last Updated
Enumerated
Primary practice addressSC · 29063-8918
107 Holly Creek DrIrmo, SC 29063-8918
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About this NPIWhat this record shows.

NPI 1215184056 is registered to Kelly Mack Pt, a Pediatric Physical Therapist practising at 107 Holly Creek Dr in Irmo, South Carolina. Pediatric Physical Therapist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Kelly Mack Pt has been enumerated in the National Provider Identifier (NPI) registry since 2008.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Kelly Mack Pt accepts. To confirm in-network status with your specific health plan, contact Kelly Mack Pt directly at (803) 749-1625.

Frequently asked

Yes. NPI 1215184056 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Pediatric Physical Therapist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (803) 749-1625.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Kelly Mack Pt is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy2251P0200X
Last updated
Enumerated
StatusActive
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