Individual provider Active NPI

Krystal Keeton

  • Physical Therapist
  • Mount Pleasant, SC
National Provider Identifier
1215713904
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1146 Muhlenbergia Dr Ste 101
Mount Pleasant, SC 29466-8406
Phone
(843) 998-7302
NPI assigned
Sep 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1146 Muhlenbergia Dr Ste 101
Mount Pleasant, SC 29466-8406

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 682-8840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231109000226 SC Practitioner - Physical Therapist in Private Practice 5395192553 Reassigns benefits to 2 organizations
I20240213003488 KY Practitioner - Physical Therapist in Private Practice 5395192553 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians
Benchmark Healthcare Services LLCGroup PAC ID 3779726468, 136 clinicians

Practice addresses (Care Compare)

1146 Muhlenbergia Dr
Suite 101
Mt Pleasant, SC 29466-8406
Phone (843) 998-7302

843 Eastern Byp
Suite 3
Richmond, KY 40475-2569
Phone (859) 544-1770

864 Parris Island Gtwy
Suite C
Beaufort, SC 29906-6916
Phone (843) 990-4411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Kentucky LLC Physical Therapist CurrentSince Jan 2, 2024 Accepting new patients
Benchmark Health Services Physical Therapist CurrentSince May 24, 2024 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Aug 21, 2023 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Aug 21, 2023 Accepting new patients
Drayer Physical Therapy Kentucky LLC Physical Therapist CurrentSince Jan 2, 2024 Accepting new patients
Benchmark Healthcare Services, LLC Physical Therapist CurrentSince May 24, 2024 Accepting new patients
Agilitas USA Inc Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

805 Blankenbaker Pkwy
Louisville, KY 40243
Phone (502) 253-0833

843 Eastern Byp
Ste 3
Richmond, KY 40475
Phone (859) 544-1770

1054 Center Dr
Ste 1
Richmond, KY 40475
Phone (859) 625-0600

200 Codella Dr
Ste B
Winchester, KY 40391
Phone (859) 745-2152

864 Parris Island Gtwy
Ste C
Beaufort, SC 29906
Phone (843) 990-4411

1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058

1146 Muhlenbergia Dr
Ste 101
Mt Pleasant, SC 29466
Phone (843) 998-7302

3032 W Montague Ave
Ste 101
North Charleston, SC 29418
Phone (843) 885-8772

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1215713904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-682-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1146 MUHLENBERGIA DR STE 101",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294668406",
            "telephone_number": "843-998-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEETON",
        "first_name": "KRYSTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.