Kelly Mack, PT - Physical Therapist in Irmo, SC

Kelly Mack, PT is a Physical Therapist - Pediatrics based in Irmo, South Carolina. Kelly Mack is licensed to practice in South Carolina (license number 2278) and her current practice location is 107 Holly Creek Dr, Irmo, South Carolina. She can be reached at her office (for appointments etc.) via phone at (803) 749-1625.

NPI number for Kelly Mack is 1215184056 and her current mailing address is 107 Holly Creek Dr, Irmo, South Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215184056.

Contact Information

Kelly Mack, PT
107 Holly Creek Dr,
Irmo, SC 29063-8918
(803) 749-1625
Not Available



Healthcare Provider's Profile

Full NameKelly Mack
GenderFemale
SpecialityPhysical Therapist - Pediatrics
Location107 Holly Creek Dr, Irmo, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1215184056
  • Provider Enumeration Date: 08/23/2008
  • Last Update Date: 08/23/2008

Medical Identifiers

Medical identifiers for Kelly Mack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215184056NPI-NPPES
THO443MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2251P0200XPhysical Therapist - Pediatrics 2278 (South Carolina)Primary

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. Kelly Mack is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Mack, PT
107 Holly Creek Dr,
Irmo, SC 29063-8918

Ph: () -
Kelly Mack, PT
107 Holly Creek Dr,
Irmo, SC 29063-8918

Ph: (803) 749-1625

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› Verified 5 days ago


Physical Therapist in Irmo, SC

Lmc Rehabilitation Services
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1320 Dutch Fork Rd. Ste. A, Irmo, SC 29063
Phone: 803-314-5450    
Ashlyn Gardner,
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 7585 Saint Andrews Rd, Irmo, SC 29063
Phone: 803-749-5031    
Mrs. Rohini Grewal, D.P.T.
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1 Wellness Blvd., Suite 204, Irmo, SC 29063
Phone: 803-749-0808    Fax: 803-749-0308
Stephen Bendziewicz, DPT, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 206 Blackstone Dr, Irmo, SC 29063
Phone: 803-767-6361    
Katherine Smith, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 7467 Saint Andrews Rd Ste 9, Irmo, SC 29063
Phone: 803-749-5031    
Progressive Physical Therapy Midlands Irmo
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1013 Lake Murray Blvd, Irmo, SC 29063
Phone: 803-602-0220    Fax: 803-781-7424

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