KATHLEEN JO PEAVEY (NPI# 1578997144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578997144 |
| Entity Type | Individual |
| Full Name | KATHLEEN JO PEAVEY |
| Other Name | KATHLEEN JO ORESKOVIC |
| Credential | P.T. |
| Practice Address |
511 W Butler Rd Greenville SC 29607-4890 |
| Mailing Address |
217 Devon Dr Mauldin SC 29662-1915 |
| Practice Telephone | 8647579918 |
| Practice Fax Number | 8647579921 |
| Mailing Telephone | 3179026244 |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2019-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
7092 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | TH3018 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3020 Farrow Rd, Columbia, SC 292037002 | 8034298474 |
| Street Address |
511 W BUTLER RD |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29607-4890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700041357 | Laurel Gynecology, Obstetrics & Infertility, Pa | Obstetrics & Gynecology | 511 W Butler Rd, Greenville, SC 29607-4833 | 2008-07-23 |
| 1992306716 | Mary Elisabeth Mackenzie | Assistant Behavior Analyst | 511 W Butler Rd, Greenville, SC 29607-4833 | 2020-11-06 |
| 1689272593 | Kristy Nichole Youngblood | Physical Therapy Assistant | 511 W Butler Rd, Greenville, SC 29607-4833 | 2020-10-13 |
| 1568074748 | Meghan Noelle Kobus | Speech-Language Pathologist | 511 W Butler Rd, Greenville, SC 29607-4833 | 2020-08-19 |
| 1164048617 | Anna Marie Borders | Behavioral Analyst | 511 W Butler Rd, Greenville, SC 29607-4890 | 2020-06-21 |
| 1942836317 | Taylor Breanna Williams | Assistant Behavior Analyst | 511 W Butler Rd, Greenville, SC 29607-4890 | 2020-03-18 |
| 1801458930 | Kayla Lashae Taylor | Speech-Language Pathologist | 511 W Butler Rd, Greenville, SC 29607-4890 | 2019-06-28 |
| 1972165041 | Behaviors A Go-go | Physical Therapist | 511 W Butler Rd, Greenville, SC 29607-4890 | 2019-06-28 |
| 1376000406 | Brittany Nicole Loyd | Assistant Behavior Analyst | 511 W Butler Rd, Greenville, SC 29607-4890 | 2019-02-25 |
| 1659835650 | Ashley Hodges Parris | Behavioral Analyst | 511 W Butler Rd, Greenville, SC 29607-4890 | 2019-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245846138 | Personalized Home Care Services | Technician | 1200 Woodruff Rd A3 Ste 150, Greenville, SC 29607 | 2020-09-16 |
| 1396361960 | Complete Homecare of America, Inc. | In Home Supportive Care | 128 Millport Circle, Suite 200, Greenville, SC 29607 | 2020-06-19 |
| 1275175093 | Carrie Laxton Ballenger | Nurse Practitioner | 2094 Woodruff Road, Greenville, SC 29607 | 2019-10-14 |
| 1861047037 | Susannah Long | Marriage & Family Therapist | 109 Laurens Road, Building 4 Ste D, Greenville, SC 29607 | 2019-08-05 |
| 1043872369 | Cheryl Craig Rosemond | Case Manager/Care Coordinator | 5 Century Drive, Suite 130, Greenville, SC 29607 | 2019-07-08 |
| 1457916561 | After Hours Chiropractic LLC | Chiropractor | 1200 Woodruff Rd Blg A-3, Simpsonville, SC 29607 | 2019-05-03 |
| 1952865289 | Orthodontic Specialists of Carolina, PC | Dentist | 611 Haywood Road, Greenville, SC 29607 | 2019-01-31 |
| 1124502307 | Martha Irby | Home Health Aide | 2320 E North St Rr 107, Greenville, SC 29607 | 2018-09-24 |
| 1780164541 | Suval Psychiatric Services, Pa | Clinic/Center | 33 Market Point Dr Ste 2023, Greenville, SC 29607 | 2018-08-20 |
| 1083113963 | Caroline Graham | Nurse Practitioner | 850 S Pleasantburg Dr, Greenville, SC 29607 | 2018-02-06 |
| Find all providers in zip 29607 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871031641 | Spark Therapy Group LLC | Physical Therapist | 9 Drexel Ave, Greenville, SC 29615-1407 | 2017-02-01 |
| 1417164146 | Pediatrics Unlimited Inc | Physical Therapist | 9-d Maple Tree Court, Greenville, SC 29615-4071 | 2007-05-16 |
| 1619925161 | Ashley Coleman Brewington | Physical Therapist | 100 Blassingame Rd, Greenville, SC 29605-3304 | 2006-05-05 |
| 1134769219 | Sarah Elizabeth Padgett | Physical Therapist | 29 N Academy St, Greenville, SC 29601-2629 | 2020-01-07 |
| 1669019774 | Laura Elizabeth Timmons | Physical Therapist | 1132 Rutherford Rd, Greenville, SC 29609-3927 | 2019-12-09 |
| 1972165041 | Behaviors A Go-go | Physical Therapist | 511 W Butler Rd, Greenville, SC 29607-4890 | 2019-06-28 |
| 1972002756 | Sarah Prickett Pate | Physical Therapist | 29 N Academy St, Greenville, SC 29601-2629 | 2018-02-07 |
| 1780109298 | Courtney N Knox | Physical Therapist | 545 Verdae Blvd Ste B, Greenville, SC 29607 | 2017-08-04 |
| 1942723481 | Samantha Marie Klei | Physical Therapist | 1925a Turnbury Dr, Greenville, NC 27858-6168 | 2017-07-17 |
| 1033647847 | Sarah Elizabeth Funderburg | Physical Therapist | 701 Grove Rd, Greenville, SC 29605-4210 | 2017-05-24 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29607 |
Please comment or provide details below to improve the information on KATHLEEN JO PEAVEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.