Active NPI
David Eric Keppler, PT
- Physical Therapist
- Charleston, SC
National Provider Identifier
1134254261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5348
- Practice address
- 3590 Mary Ader Ave
Apt. 1231
Charleston, SC 29414-5784 - Phone
- (843) 697-2599
- Fax
- (843) 852-2296
- NPI assigned
- Feb 22, 2007
- Last updated
- Jul 8, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5348 | SC | Primary |
| Physical Therapist | 225100000X | QA005869 | NJ |
Addresses
Primary practice location
3590 Mary Ader Ave
Apt. 1231
Charleston, SC 29414-5784
Mailing address
3590 Mary Ader Ave
Apt. 1231
Charleston, SC 29414-5784
Phone (843) 697-2599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
103 3Rd St
Hampton, SC 29924-2511
Phone (803) 943-3914
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| QA005869 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carrie B. Benton, LLC | Physical Therapist | Current | Accepting new patients |
| Physical Therapy Center of Woodbridge, PC | Physical Therapist | Past | Accepting new patients |
Locations
103 3rd St E
Hampton, SC 29924
Phone (803) 943-3419
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lowcountry Rehab
- Physical Therapy Clinic/Center
- Hampton, SC
- NPI 1154032753
Physical Therapist
-
- Physical Therapist
- Avenel, NJ
- NPI 1730151630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1134254261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3590 MARY ADER AVE",
"address_2": "APT. 1231",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294145784",
"telephone_number": "843-697-2599",
"fax_number": "843-852-2296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3590 MARY ADER AVE",
"address_2": "APT. 1231",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294145784",
"telephone_number": "843-697-2599",
"fax_number": "843-852-2296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEPPLER",
"first_name": "DAVID",
"middle_name": "ERIC",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "5348",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "QA005869",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.