Individual provider Active NPI

David Eric Keppler, PT

  • Physical Therapist
  • Charleston, SC
National Provider Identifier
1134254261
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5348 Issued in SC
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20260114000291 SC Practitioner - Physical Therapist in Private Practice 8729052543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Carrie B. Benton, LLCGroup PAC ID 7719358266, 2 clinicians

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

LicenseStateTypeSpecialty
QA005869NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carrie B. Benton, LLC Physical Therapist CurrentSince Sep 25, 2025 Accepting new patients
Physical Therapy Center of Woodbridge, PC Physical Therapist PastSince Jan 1, 2001 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.

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.

Verify at the official NPI Registry.