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

Kimberly T Ethridge, PT

Individual provider Physical Therapist · NPI 1619205499

Kimberly T Ethridge, PT is a Physical Therapist in Private Practice in Mt Pleasant, South Carolina. Graduated from Medical University of South Carolina College of Medicine in 1996, 30 years ago. Practices with Olympic Physical Therapy LLC, a 10-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
30
Trained at
Medical University of South Carolina College of Medicine
Licensed in
SC
In the registry since
2009
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1476 Long Grove Dr
Mt Pleasant, SC 29464-7571
Phone: (843) 216-3535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 3000 (SC)

Record details

NPI number1619205499
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 7, 2009
Last updated in NPPESJuly 26, 2011

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice Olympic Physical Therapy Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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