KIMBERLY SPACE DPT
NPI 1285946392
Physical Therapist in Goose Creek, SC
About Kimberly Space Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY SPACE DPT (NPI 1285946392) is an individual physical therapist in Goose Creek, South Carolina, licensed in South Carolina (6019) and active in the NPI registry since July 2010. She maintains a secondary practice location in Cherry Hill and is a graduate of Medical University Of South Carolina College Of Medicine (2009).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kimberly Space Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Kimberly Space reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hilton Head, SC 29926
- Reassigned Medicare billing, South Carolina enrollment
- 297 clinicians in this Medicare group
Hardeeville, SC 29927
- Reassigned Medicare billing, South Carolina enrollment
- 363 clinicians in this Medicare group
Hixson, TN 37343
- Reassigned Medicare billing, South Carolina enrollment
- 267 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kimberly Space's NPI number?
The NPI number for Kimberly Space is 1285946392. It was assigned to this individual provider in the NPPES registry on July 6, 2010.
Where is Kimberly Space located?
Kimberly Space practices at 514 Saint James Ave Unit G, Goose Creek, SC 29445. The listed phone number is (843) 642-8660.
What is Kimberly Space's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Kimberly Space enrolled in Medicare?
Yes. Kimberly Space is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kimberly Space's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Space reassigns Medicare benefits to 3 organizations: Drayer Physical Therapy-South Carolina, LLC (Hilton Head, SC), Benchmark Healthcare Services, LLC (Hardeeville, SC) and Agilitas Usa Inc (Hixson, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Space's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Space accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list Kimberly Space as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kimberly Space was last updated on October 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.