Kelly Resha

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12314 Issued in SC

Practice address

1393 Silver Bluff Rd
Aiken, SC 29803-8860

Phone

(803) 226-9196

Fax

(803) 226-9197

NPI assigned

Aug 24, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Raines Physical Therapy and PerformanceGroup PAC ID 5496153009, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelly.resha.p12@direct.athleticoltd.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Raines Physical Therapy and Performance

  • Physical Therapist
  • Aiken, SC
  • NPI 1043894843
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1003283219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1393 SILVER BLUFF RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298038860",
            "telephone_number": "803-226-9196",
            "fax_number": "803-226-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1393 SILVER BLUFF RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298038860",
            "telephone_number": "803-226-9196",
            "fax_number": "803-226-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESHA",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia Yewvette Reid, PHARMD
• Lauren Reigot, PT, DPT
• Carrington Jayde Reilly
• Releve Physical Therapy
• Melissa Renew
• Restorative Life Counseling LLC
• Laura Draper Rexroad, PHARM D
• Julianna Faith Reynolds, OTR/L
• Rezaur Rahman Reza, MD
• Kelsey Rhoad

• Physical Therapist in Aiken, SC
• Providers in Aiken, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.