| Kendall Anastasia Anderson, DPT | |
|
1787 S Lake Dr Ste H, Lexington, SC 29073-6736 | |
| (803) 957-0404 | |
| (803) 957-0468 |
| Full Name | Kendall Anastasia Anderson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1787 S Lake Dr Ste H, Lexington, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619700812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | 12533 (South Carolina) | Primary |
| Provider Name | Carolina Physical Therapy And Sports Medicine Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1487180881 PECOS PAC ID: 7517236557 Enrollment ID: O20170706001156 |
| Mailing Address | Practice Location Address |
|---|---|
| Kendall Anastasia Anderson, DPT 1787 S Lake Dr Ste H, Lexington, SC 29073-6736 Ph: (803) 957-0404 | Kendall Anastasia Anderson, DPT 1787 S Lake Dr Ste H, Lexington, SC 29073-6736 Ph: (803) 957-0404 |
Lauren Elizabeth Montgomery, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 364 Longs Pond Rd Ste H, Lexington, SC 29073 Phone: 803-358-9400 Fax: 803-358-9898 | |
Mary Brown, Physical Therapist Medicare: Medicare Enrolled Practice Location: 800 N Lake Dr, Lexington, SC 29072 Phone: 877-407-3422 Fax: 877-407-4329 | |
Ms. Benita Reolaine Tobias, PT, CLT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 108 Palmetto Park Blvd, Ste B, Lexington, SC 29072 Phone: 803-359-2323 Fax: 803-359-2331 | |
Tanya Blatchford, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 800 N Lake Dr, Lexington, SC 29072 Phone: 877-407-3422 | |
Amanda Polanco, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 800 N Lake Dr, Lexington, SC 29072 Phone: 877-407-3422 | |
Rhonda Johnson, Physical Therapist Medicare: Medicare Enrolled Practice Location: 800 N Lake Dr, Lexington, SC 29072 Phone: 877-407-3422 Fax: 877-407-4329 | |
Erin Elizabeth Moore, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Wellmore Dr, Lexington, SC 29072 Phone: 912-661-4994 |