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

Individual provider Physical Therapist · NPI 1558928523

Kirby Broome, PT, DPT is a Physical Therapist in Goose Creek, South Carolina. Licensed in South Carolina. Registered with an NPI since 2019.

Licensed in
SC
In the registry since
2019
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

104 Mallory Dr
Goose Creek, SC 29445-6406
Phone: (843) 996-1471
Fax: (843) 808-6986
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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 9667 (SC)

Record details

NPI number1558928523
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMay 23, 2019
Last updated in NPPESFebruary 20, 2025
Certification dateFebruary 20, 2025

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