Kimberly T Ethridge (NPI# 1619205499, PAC ID# 6507012325) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1619205499 |
| PAC ID by PECOS | 6507012325 |
| Professional Enrollment ID | I20120810000319 |
| Full Name | Kimberly T Ethridge |
| Organization Legal Name | OLYMPIC PHYSICAL THERAPY LLC |
| Address |
1476 Long Grove Dr Suite 1 Mount Pleasant SC 29464-7571 |
| Phone Number | 8432163534 |
| Gender | F |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 6800856428 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1476 Long Grove Dr, Suite 1, Mount Pleasant, SC 29464-7571 | 8432163534 | OLYMPIC PHYSICAL THERAPY LLC |
| Organization Legal Name | OLYMPIC PHYSICAL THERAPY LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick S Blair | Physical Therapy | Olympic Physical Therapy LLC | 1476 Long Grove Dr, Suite 1, Mount Pleasant, SC 29464-7571 |
| Janie V Crossland | Physical Therapy | Olympic Physical Therapy LLC | 1476 Long Grove Dr, Suite 1, Mount Pleasant, SC 29464-7571 |
| Ruth Haeseler Hurley | Physical Therapy | Olympic Physical Therapy LLC | 1476 Long Grove Dr, Suite 1, Mount Pleasant, SC 29464-7571 |
| Dana S Richards | Physical Therapy | Olympic Physical Therapy LLC | 1476 Long Grove Dr, Suite 1, Mount Pleasant, SC 29464-7571 |
| Leo M Albano Sr. | Physical Therapy | Olympic Physical Therapy LLC | 1476 Long Grove Dr, Suite 1, Mount Pleasant, SC 29464-7571 |
| Kenton R Holden Jr. | Physical Therapy | Olympic Physical Therapy LLC | 1476 Long Grove Dr, Suite 1, Mount Pleasant, SC 29464-7571 |
| Lynn S Destefano | Physical Therapy | Olympic Physical Therapy LLC | 1476 Long Grove Dr, Suite 1, Mount Pleasant, SC 29464-7571 |
| Tracy Dewitt | Physical Therapy | Olympic Physical Therapy LLC | 1476 Long Grove Dr, Suite 1, Mount Pleasant, SC 29464-7571 |
| Isabella A Dolega Kowalewski | Physical Therapy | Olympic Physical Therapy LLC | 1476 Long Grove Dr, Suite 1, Mount Pleasant, SC 29464-7571 |
| Street Address |
1476 LONG GROVE DR SUITE 1 |
| City | MOUNT PLEASANT |
| State | SC |
| Zip | 29464-7571 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick S Blair | Physical Therapy | Olympic Physical Therapy LLC | 1476 Long Grove Dr, Suite 1, Mount Pleasant, SC 29464-7571 |
| Janie V Crossland | Physical Therapy | Olympic Physical Therapy LLC | 1476 Long Grove Dr, Suite 1, Mount Pleasant, SC 29464-7571 |
| Ruth Haeseler Hurley | Physical Therapy | Olympic Physical Therapy LLC | 1476 Long Grove Dr, Suite 1, Mount Pleasant, SC 29464-7571 |
| Dana S Richards | Physical Therapy | Olympic Physical Therapy LLC | 1476 Long Grove Dr, Suite 1, Mount Pleasant, SC 29464-7571 |
| Leo M Albano Sr. | Physical Therapy | Olympic Physical Therapy LLC | 1476 Long Grove Dr, Suite 1, Mount Pleasant, SC 29464-7571 |
| Kenton R Holden Jr. | Physical Therapy | Olympic Physical Therapy LLC | 1476 Long Grove Dr, Suite 1, Mount Pleasant, SC 29464-7571 |
| Lynn S Destefano | Physical Therapy | Olympic Physical Therapy LLC | 1476 Long Grove Dr, Suite 1, Mount Pleasant, SC 29464-7571 |
| Tracy Dewitt | Physical Therapy | Olympic Physical Therapy LLC | 1476 Long Grove Dr, Suite 1, Mount Pleasant, SC 29464-7571 |
| Isabella A Dolega Kowalewski | Physical Therapy | Olympic Physical Therapy LLC | 1476 Long Grove Dr, Suite 1, Mount Pleasant, SC 29464-7571 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dale Friar | Chiropractic | 1909 N Hwy 17, Suite I, Mount Pleasant, SC 29464 | |
| Frederick Shinners | Optometry | 1903 Hwy 17 N, Suite 100, Mt.pleasant, SC 29464 | |
| Carolyn R Word | Pediatric Medicine | Allergy and Asthma Consultants, LLP | 180 Wingo Way, Suite 102, Mt Pleasant, SC 29464-1807 |
| Andrew Evin Davidson | Allergy/immunology | Allergy and Asthma Consultants, LLP | 180 Wingo Way, Suite 102, Mt Pleasant, SC 29464-1807 |
| Thomas Bailey Harper Iii | Allergy/immunology | Allergy and Asthma Consultants, LLP | 180 Wingo Way, Suite 102, Mt Pleasant, SC 29464-1807 |
| Jeffrey J Dietrich | Allergy/immunology | Allergy and Asthma Consultants, LLP | 180 Wingo Way, Suite 102, Mt Pleasant, SC 29464-1807 |
| Lindsey Paige Stoltz | Allergy/immunology | Allergy and Asthma Consultants, LLP | 180 Wingo Way, Suite 102, Mt Pleasant, SC 29464-1807 |
| Bruce Ball | Allergy/immunology | Allergy and Asthma Consultants, LLP | 180 Wingo Way, Suite 102, Mt Pleasant, SC 29464-1807 |
| Tiffany L. Dellinger | Nurse Practitioner | Roper Saint Francis Physicians Network | 180 Wingo Way, Suite 110, Mt Pleasant, SC 29464-1810 |
| Lisa Carol Tabakian | Nurse Practitioner | Roper Saint Francis Physicians Network | 180 Wingo Way, Suite 110, Mt Pleasant, SC 29464-1810 |
| Find all physicians in zip 29464 | |||
| City | MOUNT PLEASANT |
| Zip Code | 29464 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | MOUNT PLEASANT + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Kimberly T Ethridge.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.