Individual provider Active NPI

Brad D Keisling, MSPT,CSCS

  • Physical Therapist
  • Beaufort, SC
National Provider Identifier
1366471906
Registry record updated Feb 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4334 Issued in SC
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

Updated by the provider on Feb 13, 2022

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 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

IdentifierTypeStateIssuer
P00415441OtherSCRAILROAD MEDICARE
P00221129OtherSCRAILROAD PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
4334SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beaufort Orthopaedic Sports and Spine Center LLC CurrentSince Apr 21, 2021 Accepting new patients
Beaufort Orthopaedic Sports and Spine Center LLC CurrentSince Apr 21, 2021 Accepting new patients
Carolina Sportscare and Physical Therapy Physical Therapist PastSince Jan 28, 2002 Accepting new patients
Legacy Physical Therapy Partners Physical Therapist PastSince Jan 3, 2022 Accepting new patients
Radius PT of Alabama LLC Physical Therapist PastSince Jan 3, 2022 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.

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 48 clinicians

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 100Reported as group
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.

Verify at the official NPI Registry.