Benjamin Michael Kissick (NPI# 1437525722, PAC ID# 9032486212) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1437525722 |
| PAC ID by PECOS | 9032486212 |
| Professional Enrollment ID | I20170518000002 |
| Full Name | Benjamin Michael Kissick |
| Organization Legal Name | AGILITAS USA INC |
| Address |
9512 Dorchester Rd Suite 140 Summerville SC 29485-8651 |
| Phone Number | 8436957970 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 3375454648 |
| Number of Group Practice Members | 411 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 514 Saint James Ave, Goose Creek, SC 29445-2767 | 8436428660 | AGILITAS USA INC |
| 514 Saint James Ave, Unit G, Goose Creek, SC 29445-2767 | 8436428660 | AGILITAS USA INC |
| 9512 Dorchester Rd, Suite 140, Summerville, SC 29485-8651 | 8436957970 | AGILITAS USA INC |
| 9512 Dorchester Rd, Summerville, SC 29485-8651 | 8436957970 | AGILITAS USA INC |
| Organization Legal Name | AGILITAS USA INC |
| Physicians | 548 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jasmine Jacobs | Physical Therapy | Agilitas Usa Inc | 11720 Medlock Bridge Rd, Suite 550, Johns Creek, GA 30097-2505 |
| Brittney Santella | Physical Therapy | Agilitas Usa Inc | 843 Eastern Byp, Suite 3, Richmond, KY 40475-2569 |
| Shaleesha Nyree-zeni Coleman | Physical Therapy | Agilitas Usa Inc | 1621 Midland Trl, Shelbyville, KY 40065-1638 |
| Seth Lawrence | Physical Therapy | Agilitas Usa Inc | 8475 Hwy 6 N, Suite K, Houston, TX 77095-2019 |
| Christopher Hedgepeth | Physical Therapy | Agilitas Usa Inc | 324 Sutton Rd Se, Suite B, Owens Cross Roads, AL 35763-9372 |
| Katelyn Colson | Physical Therapy | Agilitas Usa Inc | 11310 Memorial Pkwy Sw, Unit L, Huntsville, AL 35803-2148 |
| Clayton Mitchell Austin | Physical Therapy | Agilitas Usa Inc | 1525 Gunbarrel Rd, Suite 105, Chattanooga, TN 37421-3124 |
| Peter Terrebonne Jr. | Physical Therapy | Agilitas Usa Inc | 131 Hatcher Ln B, Clarksville, TN 37043-5987 |
| Kevin Lacke | Physical Therapy | Agilitas Usa Inc | 102 Wonder World Dr, 401 Results Physiotherapy, San Marcos, TX 78666-6072 |
| Keelin Frances Treacy | Physical Therapy | Agilitas Usa Inc | 11637 Bandera Rd, Suite 101, San Antonio, TX 78250-6851 |
| Street Address |
9512 DORCHESTER RD SUITE 140 |
| City | SUMMERVILLE |
| State | SC |
| Zip | 29485-8651 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erik Brandon Meeker | Physical Therapy | Agilitas Usa Inc | 9512 Dorchester Rd, Suite 140, Summerville, SC 29485-8651 |
| Christine Denise Hollingworth | Physical Therapy | Agilitas Usa Inc | 9512 Dorchester Rd, Suite 140, Summerville, SC 29485-8651 |
| Matthew David Hinshaw | Physical Therapy | Agilitas Usa Inc | 9512 Dorchester Rd, Suite 140, Summerville, SC 29485-8651 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn J Gershkowitz | Nurse Practitioner | Equilibrium Endocrinology, Pa | 4340 Ladson Rd, Summerville, SC 29485 |
| Robert Stephen Iannace Jr. | Chiropractic | 1357 Bacons Bridge Rd, Summerville, SC 29485-3335 | |
| Marci H Woods | Nurse Practitioner | Roper Saint Francis Physicians Network | 9500 Dorchester Rd, Suite 362, Summerville, SC 29485-4304 |
| Judith L Hoffman | Clinical Social Worker | 89 B Old Trolley Rd, Suite 209, Summerville, SC 29485-4933 | |
| Christopher John Jones | Psychiatry | 709 Old Trolley Rd, Summerville, SC 29485-5203 | |
| Susan S Crocker | Psychiatry | 709 Old Trolley Rd, Summerville, SC 29485-5203 | |
| Christine Diane Hamolia | Certified Clinical Nurse Specialist (cns) | 709 Old Trolley Rd, Summerville, SC 29485-5203 | |
| James C Turn | Chiropractic | Willturn PC | 705 Old Trolley Rd E, Summerville, SC 29485-5212 |
| Thomas Edewaard | Optometry | 705 Old Trolley Rd A, Summerville, SC 29485-5212 | |
| Virginia Chetverikov | Optometry | Mobile Vision of South Carolina LLC | 717 Trolley Rd, Summerville, SC 29485-5287 |
| Find all physicians in zip 29485 | |||
| City | SUMMERVILLE |
| Zip Code | 29485 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | SUMMERVILLE + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.