IndividualActive
Kelley Johannes, PT
NPI 1932250016 · Pediatric Physical Therapist · Spartanburg, SC
Provider details
- NPI number
- 1932250016
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- 10792 (NC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Pediatric Physical Therapist2251P0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2400 Winchester Pl Ste 102b
Spartanburg, SC 29301-1518
Phone: (864) 574-7282
Fax: (864) 574-7664
Approximate (ZIP-level) locationGet directions
Mailing address
139 Dewfield Ln
Boiling Springs, SC 29316-6167
Additional practice locations (1)
- 2711 Randolph RdSuite 509Charlotte, NC 28207-2034Phone: (704) 491-1455
Registry dates
- Enumerated
- 2007-01-15
- Last updated
- 2019-12-26
- Certified
- 2019-12-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.