MEDICARE: KIRSTEN NICOLE ORNDORFF DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	P16862	NC
2	225100000X	Physical Therapist	9621	SC

General Provider Information

NPI Number	:	1790265940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIRSTEN NICOLE ORNDORFF DPT

Provider Business Mailing Address
First Line	:	1200 CORPORATE DR STE 400
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35242-5424
Country	:	US
Telephone Number	:	423-497-0005
Fax Number	:

Provider Business Practice Location Address
First Line	:	1525 CELANESE RD STE 113
Second Line	:
City	:	ROCK HILL
State	:	SC
Zip	:	29732-1757
Country	:	US
Telephone Number	:	803-336-8243
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2018
Last Update Date	:	02/11/2025

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Directions to “ KIRSTEN NICOLE ORNDORFF DPT” Practice Location

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