Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kerry Shults

Individual provider Physical Therapist · NPI 1154029163

Kerry Shults is a Physical Therapist in Private Practice in Summerville, South Carolina. Qualified in 2022, 4 years ago. Practices with Greenville Proaxis Therapy LLC, a 222-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
4
Licensed in
SC
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

330 E 5th North St Ste D&e
Summerville, SC 29483-0702
Phone: (843) 695-0326
Fax: (843) 695-0328
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 819 Brookfield Dr, Seven Fields, PA 16046-4203 — (724) 814-0568

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (SC)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1154029163
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 20, 2023
Last updated in NPPESJune 28, 2024
Certification dateJune 28, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Greenville Proaxis Therapy Llc — 222 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Summerville