Individual provider Active NPI

Kaci Mariah Bemowski, PT, DPT

  • Physical Therapist
  • Beaufort, SC
National Provider Identifier
1447819453
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH9374 Issued in AL
Practice address
1076 Ribaut Rd Ste 102
Beaufort, SC 29902-5490
Phone
(843) 525-0045
Fax
(843) 525-0826
NPI assigned
Jun 12, 2019
Last updated
Nov 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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 11173 SC
Physical Therapist 225100000X PTH9374 AL Primary

Addresses

Primary practice location

1076 Ribaut Rd Ste 102
Beaufort, SC 29902-5490

Mailing address

1076 Ribaut Rd Ste 102
Beaufort, SC 29902-5490
Phone (843) 525-0045

Other practice location 1

7270 Gadsden Hwy Ste 104
Trussville, AL 35173-2640
Phone (659) 444-1193

Other practice location 2

5057 Pinnacle Sq
Birmingham, AL 35235-3216
Phone (205) 655-9222

Other practice location 3

2208 Village Dr
Moody, AL 35004-3241
Phone (555) 833-5378

Other names 1

  • Kaci Mariah Davidson Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190823001684 AL Practitioner - Physical Therapist in Private Practice 8022346378 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Medical University of South Carolina College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radius PT of Alabama LLCGroup PAC ID 3476948951, 6 clinicians

Practice addresses (Care Compare)

7270 Gadsden Hwy
104 108
Trussville, AL 35173-2640
Phone (659) 444-1193

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11173SCMDMarriage & Family Therapist
PTH9374ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy-Alabama, LLC Physical Therapist CurrentSince Jun 10, 2019 Accepting new patients
Radius PT of Alabama LLC Physical Therapist CurrentSince Jan 1, 2024 Accepting new patients
Drayer Physical Therapy Alabama LLC CurrentSince Jun 10, 2019 Accepting new patients
Legacy Physical Therapy Partners Physical Therapist CurrentSince Jan 1, 2024 Accepting new patients
Lowcountry Spine & Sport, LLC Past Accepting new patients

Locations

2215 Decatur Hwy
Ste 125
Gardendale, AL 35071
Phone (205) 285-8790

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

2208 Village Dr
Moody, AL 35004
Phone (555) 833-5378

5057 Pinnacle Sq
Trussville, AL 35235
Phone (205) 508-5300

7270 Gadsden Hwy
#104108
Trussville, AL 35173
Phone (659) 444-1193

7270 Gadsden Hwy
Ste 104
Trussville, AL 35173
Phone (205) 655-7231

8205 Presidents Dr
#2
Hummelstown, PA 17036
Phone (717) 803-2560

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GHGGAA

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": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1447819453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1076 RIBAUT RD STE 102",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025490",
            "telephone_number": "843-525-0045",
            "fax_number": "843-525-0826"
        },
        {
            "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": "843-525-0826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7270 Gadsden Hwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Trussville",
            "state": "AL",
            "postal_code": "351732640",
            "country_code": "US",
            "telephone_number": "659-444-1193",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5057 Pinnacle Sq",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352353216",
            "country_code": "US",
            "telephone_number": "205-655-9222",
            "fax_number": "205-655-9233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2208 Village Dr",
            "address_purpose": "LOCATION",
            "city": "Moody",
            "state": "AL",
            "postal_code": "350043241",
            "country_code": "US",
            "telephone_number": "555-833-5378",
            "fax_number": "855-966-4087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEMOWSKI",
        "first_name": "KACI",
        "middle_name": "MARIAH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "11173",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH9374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KACI",
            "last_name": "DAVIDSON",
            "middle_name": "MARIAH",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Nov 22, 2023; 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.