Active NPI
Kesha Porter
- Geriatric Physical Therapist
- Aiken, SC
National Provider Identifier
1184410474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 12072
- Practice address
- 123 Dupont Dr NW
Aiken, SC 29801-4089 - Phone
- (781) 606-2512
- NPI assigned
- Apr 15, 2025
- Last updated
- Apr 15, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 12072 | SC | Primary |
Addresses
Primary practice location
123 Dupont Dr NW
Aiken, SC 29801-4089
Mailing address
4188 Candleberry GDN
North Augusta, SC 29860-7201
Other practice location 1
213 Laurens St
Aiken, SC 29801-3911
Phone (803) 643-4200
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744675200000",
"number": "1184410474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4188 CANDLEBERRY GDN",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298607201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 DUPONT DR NW",
"city": "AIKEN",
"state": "SC",
"postal_code": "298014089",
"telephone_number": "781-606-2512"
}
],
"practiceLocations": [
{
"address_1": "213 Laurens St",
"address_purpose": "LOCATION",
"city": "Aiken",
"state": "SC",
"postal_code": "298013911",
"country_code": "US",
"telephone_number": "803-643-4200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PORTER",
"first_name": "KESHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-15",
"last_updated": "2025-04-15",
"certification_date": "2025-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "SC",
"license": "12072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.