Individual ProviderKatie RiepenPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address130 Hunter Village Dr Ste B, Irmo, SC 29063-8345(803) 445-2941(864) 855-7030PECOS EnrollmentBased on the most recent information from CMS, provider Katie Riepen does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1922404235Provider TypeIndividualFull NameRiepen, KatieGenderFemaleSole ProprietorNoEnumeration Date11/13/2014Last Updated9/19/2016Contact InformationPractice LocationPractice Address130 Hunter Village Dr Ste B, Irmo, SC 29063-8345Phone(803) 445-2941FaxUnlisted FaxMailing LocationMailing Address227 S Pendleton St Ste B, Easley, SC 29640-3047Phone(864) 855-7030FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense7716South CarolinaCode225100000XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense5501016872Michigan