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Kerry Blackston

NPI 1427480409ActiveIndividual· Physical Therapist· North Augusta, SC

Physical Therapist in North Augusta, South Carolina, licensed in SC and GA, with an NPI issued in August 2013.

Overview

NPI1427480409
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedAug 1, 2013
Last updated in NPPESAug 1, 2013

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X564SC
Physical Therapist225100000X000658GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Physical Therapist providers in North Augusta

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