Active NPI
Brian Kreisel, DPT, DSC
- Physical Therapist
- Fort Moore, GA
National Provider Identifier
1043544737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT019914
- Practice address
- 6600 Van Aalst Blvd
Fort Moore, GA 31905-2102 - Phone
- (762) 408-1641
- NPI assigned
- Sep 28, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT019914 | PA | Primary |
Addresses
Primary practice location
6600 Van Aalst Blvd
Fort Moore, GA 31905-2102
Mailing address
6600 Van Aalst Blvd
Fort Benning, GA 31905-2102
Phone (627) 408-1641
Other practice location 1
1650 Cochrane Cir
Physical Therpay Clinic
Fort Carson, CO 80913-4603
Phone (719) 526-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT019914 | Other | PA | BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS, PHYSICAL THERAPIST LICENSE NO. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT019914 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1043544737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 VAN AALST BLVD",
"city": "FORT BENNING",
"state": "GA",
"postal_code": "319052102",
"telephone_number": "627-408-1641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 VAN AALST BLVD",
"city": "FORT MOORE",
"state": "GA",
"postal_code": "319052102",
"telephone_number": "762-408-1641"
}
],
"practiceLocations": [
{
"address_1": "1650 Cochrane Cir",
"address_2": "Physical Therpay Clinic",
"address_purpose": "LOCATION",
"city": "Fort Carson",
"state": "CO",
"postal_code": "809134603",
"country_code": "US",
"telephone_number": "719-526-7000",
"fax_number": "719-526-7072",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KREISEL",
"first_name": "BRIAN",
"name_prefix": "Mr.",
"credential": "DPT, DSC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-28",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT019914",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS, PHYSICAL THERAPIST LICENSE NO.",
"identifier": "PT019914",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Moore, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.