Kimberly T. Ethridge, PT
NPI 1619205499ActiveIndividual· Physical Therapist· Mt Pleasant, SC
Physical Therapist (PT) in Mt Pleasant, South Carolina, trained at Medical University of South Carolina College of Medicine (class of 1996). Medicare paid $35,842 for services to 52 patients in 2024.
Overview
| NPI | 1619205499 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Dec 7, 2009 |
| Last updated in NPPES | Jul 26, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 3000 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (SC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 52 |
|---|---|
| Services billed | 1,666 across 8 procedure codes |
| Paid by Medicare | $35,842 |
Education and affiliations
| Medical school | Medical University of South Carolina College of Medicine |
|---|---|
| Graduation year | 1996 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Olympic Physical Therapy LLCMount Pleasant, SC · 10 clinicians
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