Derek T Kelkenberg

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

713 W Wade Hampton Blvd
Greer, SC 29650-1307

Phone

(864) 479-6084

NPI assigned

Sep 1, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC, OR, AK, NY4 enrollments

Enrollment records 4

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthoalaska LLC 167 clinicians

Advanced Care Physical Therapy Aquatics and Fitness PC 24 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.45 of 100Reported as group

Promoting interoperability

97

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17161/brand/1/csg/1/fhir/r4

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.

• Advanced Care Physical Therapy Aquatics and Fitness PC

  • Physical Therapist
  • Niagara Falls, NY
  • NPI 1891883385

  NY, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Orthoalaska, LLC

  • Orthopaedic Surgery Physician
  • Anchorage, AK
  • NPI 1336504521

  AK

  Medicare reassignment Care Compare group
• Greenville Proaxis Therapy, LLC

  • Physical Therapist
  • Greenville, SC
  • NPI 1669457859
  Medicare reassignment NPD
• Orthosc, LLC

  • Orthopaedic Surgery Physician
  • Murrells Inlet, SC
  • NPI 1861902728

  SC

  Medicare reassignment NPD
• Chugach Physical Therapy Inc

  • Physical Therapist
  • Anchorage, AK
  • NPI 1932140308

  AK, Physical Therapist

  Medicare reassignment NPD
• New Proactive LLC

  • Physical Therapy Clinic/Center
  • Oregon City, OR
  • NPI 1396273199

  OR, Physical Therapist

  Medicare reassignment NPD
• Orthoalaska LLC

  • Durable Medical Equipment & Medical Supplies
  • Anchorage, AK
  • NPI 1386513331
  Care Compare group
• Orthoalaska LLC

  • Durable Medical Equipment & Medical Supplies
  • Wasilla, AK
  • NPI 1528937570
  Care Compare group
• Orthoalaska LLC

  • Durable Medical Equipment & Medical Supplies
  • Eagle River, AK
  • NPI 1649149691
  Care Compare group
• Orthoalaska LLC

  • Durable Medical Equipment & Medical Supplies
  • Anchorage, AK
  • NPI 1669341616
  Care Compare group
• Orthoalaska LLC

  • Durable Medical Equipment & Medical Supplies
  • Anchorage, AK
  • NPI 1730058785
  Care Compare group
• Orthoalaska LLC

  • Durable Medical Equipment & Medical Supplies
  • Anchorage, AK
  • NPI 1760351712
  Care Compare group

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1336817675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 W WADE HAMPTON BLVD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501307",
            "telephone_number": "864-479-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELKENBERG",
        "first_name": "DEREK",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rahul Kataria, M.D.
• Amy Kay
• Timothy Scott Kaylor, DPT, SCS
• Joshua C Keels, DC
• Carly Keenan, DO
• Kellar Surgical
• Kevin Metz Keller, MD
• Ann J Kelly, M.D.
• Kemp Chiropractic Center, LLC
• Nina Richelle Kennedy, D.C.

• All providers in Greer, SC
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.