Kimberly Space, DPT in Goose Creek, SC - Medicare Physical Therapy Provider

Kimberly Space, DPT is a medicare enrolled "Physical Therapist" provider in Goose Creek, South Carolina. She went to Medical University Of South Carolina College Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Agilitas Usa Inc and her current practice location is 514 Saint James Ave Unit G, Goose Creek, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 642-8660.

Kimberly Space is licensed to practice in South Carolina (license number 6019) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1285946392.

Contact Information

	Kimberly Space, DPT
	514 Saint James Ave Unit G, Goose Creek, SC 29445
	(843) 642-8660
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly Space
Gender	Female
Speciality	Physical Therapy
Experience	15 Years
Location	514 Saint James Ave Unit G, Goose Creek, South Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kimberly Space attended and graduated from Medical University Of South Carolina College Of Medicine in 2009

NPI Data:

NPI Number: 1285946392
Provider Enumeration Date: 07/06/2010
Last Update Date: 10/28/2019

Medicare PECOS Information:

PECOS PAC ID: 9638295892
Enrollment ID: I20100924000426

Medical Identifiers

Medical identifiers for Kimberly Space such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285946392	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	6019 (South Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Agilitas Usa Inc	3375454648	681

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberly Space allows following entities to bill medicare on her behalf.

Provider Name	Agilitas Usa Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20151021002796

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Space is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kimberly Space, DPT 800 Crescent Centre Dr Ste 300, Franklin, TN 37067-7285 Ph: (615) 373-1350	Kimberly Space, DPT 514 Saint James Ave Unit G, Goose Creek, SC 29445 Ph: (843) 642-8660

Reviews and Comments

Physical Therapist in Goose Creek, SC

Nathaniel Kevin Prater, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 104 Mallory Dr, Goose Creek, SC 29445 Phone: 864-993-6304 Fax: 843-808-6986
Emily Sage Carrell, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 209 Saint James Ave, Goose Creek, SC 29445 Phone: 843-793-4466
Tori Lynn Darling, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 110 Naval Nuclear Training Command Circle, Goose Creek, SC 29445 Phone: 843-794-6400 Fax: 438-794-6997
Jeffrey Thomas Noelcke, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 214 Saint James Ave, Goose Creek, SC 29445 Phone: 843-793-4466
Joseph Styron, Physical Therapist Medicare: Medicare Enrolled Practice Location: 514 Saint James Ave Unit G, Goose Creek, SC 29445 Phone: 843-642-8660
Dr. Caleb S Nobles, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 110 Nnptc Cir, Goose Creek, SC 29445 Phone: 843-818-2944 Fax: 843-579-2738
Jessica A Lyons, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 215 Blossom St, Goose Creek, SC 29445 Phone: 843-469-1400

Kimberly Space, DPT - Medicare Physical Therapist in Goose Creek, SC