Individual provider Active NPI

Kelsi Rock, PT, DPT

  • Physical Therapist
  • Charleston, SC
National Provider Identifier
1265806046
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8302 Issued in SC
Practice address
1812 Sam Rittenberg Blvd Ste 18
Charleston, SC 29407
Phone
(843) 779-7377
Fax
(843) 779-7378
NPI assigned
Nov 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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 8302 SC Primary

Addresses

Primary practice location

1812 Sam Rittenberg Blvd Ste 18
Charleston, SC 29407

Mailing address

800 Crescent Centre Dr Ste 300
Franklin, TN 37067-7285
Phone (615) 373-1350

Other practice location 1

1941 Savage Rd Ste 300A
Charleston, SC 29407-4790
Phone (843) 402-1495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161209000956 SC Practitioner - Physical Therapist in Private Practice 9739469768 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
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)

1812 Sam Rittenberg Blvd
Suite 18
Charleston, SC 29407-4868
Phone (843) 779-7377

3750 Savannah Hwy
Suite G
Johns Island, SC 29455-7909
Phone (843) 718-0221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA, Inc Physical Therapist CurrentSince Nov 11, 2019 Accepting new patients
Benchmark Healthcare Services, LLC Physical Therapist CurrentSince Jun 21, 2024 Accepting new patients
Benchmark Health Services Physical Therapist CurrentSince Jun 21, 2024 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Nov 11, 2019 Accepting new patients
Love of Language PastSince May 8, 2018 Accepting new patients

Locations

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

1812 Sam Rittenberg Blvd
Ste 18
Charleston, SC 29407
Phone (843) 779-7377

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

3750 Savannah Hwy
Ste G
Johns Island, SC 29455
Phone (843) 718-0221

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

800 Crescent Centre Dr
Ste 300
Franklin, TN 37067

Organizations & group practices 5

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": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1265806046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CRESCENT CENTRE DR STE 300",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677285",
            "telephone_number": "615-373-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 SAM RITTENBERG BLVD STE 18",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29407",
            "telephone_number": "843-779-7377",
            "fax_number": "843-779-7378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1941 Savage Rd Ste 300A",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294074790",
            "country_code": "US",
            "telephone_number": "843-402-1495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROCK",
        "first_name": "KELSI",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-17",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "8302",
            "primary": true
        }
    ],
    "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 Nov 6, 2019; 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.