Individual provider Active NPI

Khayah Peters

  • Physical Therapist
  • Summerville, SC
National Provider Identifier
1326768060
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11955 Issued in SC
Practice address
9512 Dorchester Rd Ste 140
Summerville, SC 29485-4305
Phone
(843) 695-7970
NPI assigned
Sep 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 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 11955 SC Primary
Physical Therapist 225100000X PT016033 GA

Addresses

Primary practice location

9512 Dorchester Rd Ste 140
Summerville, SC 29485-4305

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (866) 518-0283

Other practice location 1

3455 Peachtree Pkwy Ste 206
Suwanee, GA 30024-9104
Phone (678) 473-1081

Other practice location 2

626 E Main St
Cartersville, GA 30121-3305
Phone (770) 383-9734

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC, SC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220919003175 GA Practitioner - Physical Therapist in Private Practice 2466837901 Reassigns benefits to 3 organizations
I20230831000552 NC Practitioner - Physical Therapist in Private Practice 2466837901 Reassigns benefits to 1 organization
I20231211003581 SC Practitioner - Physical Therapist in Private Practice 2466837901 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1558 Fwy Dr
Suite a
Reidsville, NC 27320-7166
Phone (336) 342-3383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT016033GAMDPhysical Therapist
11955SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA Inc Physical Therapist CurrentSince Jan 6, 2025 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Aug 4, 2022 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Aug 4, 2022 Accepting new patients
Drayer Physical Therapy Georgia LLC Physical Therapist CurrentSince Aug 4, 2022 Accepting new patients
Atlanta South Physical Therapy, Inc Physical Therapist CurrentSince Aug 4, 2022 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Jan 6, 2025 Accepting new patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince Jun 17, 2023 Accepting new patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince Sep 24, 2023 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Aug 4, 2022 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist CurrentSince Sep 24, 2023 Accepting new patients
Benchmark Healthcare Services, LLC Physical Therapist CurrentSince Jan 6, 2025 Accepting new patients
Benchmark Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Jun 17, 2023 Accepting new patients
Benchmark Health Services Physical Therapist CurrentSince Jan 6, 2025 Accepting new patients

Locations

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

3450 Cobb Pkwy NW
Ste 210
Acworth, GA 30101
Phone (770) 974-1978

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

626 E Main St
Cartersville, GA 30121
Phone (770) 383-9734

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

3455 Highway 81
Loganville, GA 30052
Phone (678) 635-8280

3455 Peachtree Pkwy
Ste 206
Suwanee, GA 30024
Phone (678) 473-1081

10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894

1558 Freeway Dr
Ste A
Reidsville, NC 27320
Phone (336) 342-3383

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

7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031

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

9512 Dorchester Rd
Ste 140
Summerville, SC 29485
Phone (843) 695-7970

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1326768060",
    "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": "866-518-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9512 DORCHESTER RD STE 140",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294854305",
            "telephone_number": "843-695-7970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3455 Peachtree Pkwy Ste 206",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300249104",
            "country_code": "US",
            "telephone_number": "678-473-1081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "626 E Main St",
            "address_purpose": "LOCATION",
            "city": "Cartersville",
            "state": "GA",
            "postal_code": "301213305",
            "country_code": "US",
            "telephone_number": "770-383-9734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "KHAYAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "11955",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT016033",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jan 7, 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.