OrganizationActive
Longevity PT
NPI 1003276049 · Home Health Agency · N Charleston, SC
Longevity PT is a Home Health Agency organization in N Charleston, SC (NPI 1003276049).
Provider details
- NPI number
- 1003276049
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Dale Kukla, Owner/Physical Therapist(843) 906-7169
- License
- 4916 (SC)
Specialties & taxonomies
Agencies
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5524 Gallatin Ln
N Charleston, SC 29420-6803
Phone: (843) 906-7169
Street-level locationGet directions
Mailing address
5524 Gallatin Ln
N Charleston, SC 29420-6803
Registry dates
- Enumerated
- 2016-03-03
- Last updated
- 2016-03-03
Frequently asked questions
- What is Longevity PT's NPI number?
- Longevity PT's National Provider Identifier (NPI) is 1003276049, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Longevity PT?
- Longevity PT is classified in the NPPES registry as Home Health Agency (Agencies).
- Where is Longevity PT located?
- Longevity PT's practice location on file with NPPES is 5524 Gallatin Ln, N Charleston, SC 29420-6803.
- What is Longevity PT's phone number?
- The practice phone number listed in the NPPES registry for Longevity PT is (843) 906-7169.
- Who is the authorized official for Longevity PT?
- The authorized official listed on Longevity PT's NPPES record is Dale Kukla, Owner/Physical Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Longevity PT's NPI active?
- Yes — Longevity PT's NPI (1003276049) is active in the NPPES registry as of the last update on 2016-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.