Kathryn McCrudden, PT
Physical Therapist in West Columbia, SC. Individual provider (NPI-1).
NPI number1962035113
StatusActive
Last updated in NPPESNov 9, 2020
Details
- NPI
- 1962035113
- Entity type
- Individual (NPI-1)
- Name
- Kathryn McCrudden
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 17, 2020
- Certification date
- Nov 9, 2020
- Last updated
- Nov 9, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 5840 | SC | Yes |
Practice location
2720 Sunset BlvdWest Columbia, SC 29169-4810
Phone 803-791-2000
Mailing address
Po Box 6069West Columbia, SC 29171-6069
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 105 Physical Therapist providers in West Columbia · All 2,417 providers in West Columbia
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