Individual provider Active NPI

Ronald E Klingensmith

  • Physical Therapist
  • Summerville, SC
National Provider Identifier
1205912755
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1718 State Rd Ste 7
Summerville, SC 29486-2802
Phone
(843) 303-9418
NPI assigned
Oct 27, 2006
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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 PT008091L PA
Physical Therapist 225100000X SC Primary

Addresses

Primary practice location

1718 State Rd Ste 7
Summerville, SC 29486-2802

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206

Other practice location 1

1655 Cane Bay Blvd Ste B
Summerville, SC 29486-2397
Phone (843) 719-7473

Other practice location 2

116 Foxbank Plantation Blvd Ste E
Moncks Corner, SC 29461-6741
Phone (843) 761-4622

Other identifiers 1

IdentifierTypeStateIssuer
0158191000OtherWVWEST VIRGINIA MEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171127001163 PA Practitioner - Physical Therapist in Private Practice 7810806973 Reassigns benefits to 1 organization
I20250918000524 SC Practitioner - Physical Therapist in Private Practice 7810806973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RSFH - Ati Physical Therapy LLCGroup PAC ID 3375849946, 98 clinicians

Practice addresses (Care Compare)

116 Foxbank Plantation Blvd
Suite E
Moncks Corner, SC 29461-6706
Phone (843) 761-4622

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12604SCMDPharmacist
PT008091LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Jul 1, 2017 Accepting new patients
Allegheny Clinic CurrentSince Jul 1, 2017 Accepting new patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince Jul 28, 2025 Accepting new patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince Jul 28, 2025 Accepting new patients
Rise Above Physical Therapy LLC Physical Therapist PastSince Apr 1, 2020 Accepting new patients

Locations

33299 Collection Ctr Dr
Chicago, IL 60693

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

12311 Perry Hwy
Wexford, PA 15090
Phone (878) 332-4143

1941 Savage Rd
Ste 300A
Charleston, SC 29407
Phone (843) 402-1495

116 Foxbank Plantation Blvd
Ste E
Moncks Corner, SC 29461
Phone (843) 761-4622

9241 University Blvd
Ste B1
North Charleston, SC 29406
Phone (843) 414-1140

1718 State Rd
Ste 7D
Summerville, SC 29486
Phone (843) 303-9418

330 E 5th North St
Ste De
Summerville, SC 29483
Phone (843) 695-0326

606 Nexton Square Dr
Ste 304
Summerville, SC 29486
Phone (843) 376-5963

Organizations & group practices 6

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1205912755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 STATE RD STE 7",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294862802",
            "telephone_number": "843-303-9418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1655 Cane Bay Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294862397",
            "country_code": "US",
            "telephone_number": "843-719-7473",
            "fax_number": "843-279-3251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "116 Foxbank Plantation Blvd Ste E",
            "address_purpose": "LOCATION",
            "city": "Moncks Corner",
            "state": "SC",
            "postal_code": "294616741",
            "country_code": "US",
            "telephone_number": "843-761-4622",
            "fax_number": "803-759-8002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLINGENSMITH",
        "first_name": "RONALD",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT008091L",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WEST VIRGINIA MEDICAID",
            "identifier": "0158191000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.