Active NPI
Brad D Keisling, MSPT,CSCS
- Physical Therapist
- Beaufort, SC
National Provider Identifier
1366471906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4334
- Practice address
- 1076 Ribaut Rd Ste 102
Beaufort, SC 29902-5490 - Phone
- (843) 525-0045
- Fax
- (435) 250-8268
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4334 | SC | Primary |
Addresses
Primary practice location
1076 Ribaut Rd Ste 102
Beaufort, SC 29902-5490
Mailing address
400 Main St Ste 200A4
Hilton Head, SC 29926-4628
Phone (843) 441-0595
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00415441 | Other | SC | RAILROAD MEDICARE |
| P00221129 | Other | SC | RAILROAD PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031117000220 | SC | Practitioner - Physical Therapist in Private Practice | 2264346055 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4334 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaufort Orthopaedic Sports and Spine Center LLC | Current | Accepting new patients | |
| Beaufort Orthopaedic Sports and Spine Center LLC | Current | Accepting new patients | |
| Carolina Sportscare and Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Legacy Physical Therapy Partners | Physical Therapist | Past | Accepting new patients |
| Radius PT of Alabama LLC | Physical Therapist | Past | Accepting new patients |
Locations
1076 Ribaut Rd
Ste 102
Beaufort, SC 29902
Phone (843) 521-1970
1076 Ribaut Rd
Ste 101
Beaufort, SC 29902
Phone (843) 525-0045
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Beaufort, SC
- NPI 1982765160
SC
-
- Physical Therapy Clinic/Center
- Hilton Head Island, SC
- NPI 1972203073
SC
-
- Orthopaedic Surgery Physician
- Bluffton, SC
- NPI 1497412019
-
- Physical Therapist
- Trussville, AL
- NPI 1811658016
-
- Physical Therapy Clinic/Center
- Trussville, AL
- NPI 1124790480
Physical Therapist
-
- Physical Therapist
- Beaufort, SC
- NPI 1659306785
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Beaufort Orthopaedic Sports and Spine Center LLC
Practice addresses (Care Compare)
1076 Ribaut Rd
Suite 101
Beaufort, SC 29902-5477
Phone (843) 525-0045
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.34 of 100
- Quality
- 57.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644710400000",
"number": "1366471906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 MAIN ST STE 200A4",
"city": "HILTON HEAD",
"state": "SC",
"postal_code": "299264628",
"telephone_number": "843-441-0595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1076 RIBAUT RD STE 102",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299025490",
"telephone_number": "843-525-0045",
"fax_number": "435-250-8268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEISLING",
"first_name": "BRAD",
"middle_name": "D",
"credential": "MSPT,CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2022-02-13",
"certification_date": "2022-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "4334",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00415441",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD PROVIDER NUMBER",
"identifier": "P00221129",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaufort, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2022; 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.