Active NPI
Kaci Mariah Bemowski, PT, DPT
- Physical Therapist
- Beaufort, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH9374
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
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
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 100
- Quality
- 57.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11173 | SC | MD | Marriage & Family Therapist |
| PTH9374 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drayer Physical Therapy-Alabama, LLC | Physical Therapist | Current | Accepting new patients |
| Radius PT of Alabama LLC | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy Alabama LLC | Current | Accepting new patients | |
| Legacy Physical Therapy Partners | Physical Therapist | Current | 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
- 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.
-
- Physical Therapy Clinic/Center
- Trussville, AL
- NPI 1124790480
Physical Therapist
-
- Physical Therapist
- Gardendale, AL
- NPI 1023440583
-
- Physical Therapy Clinic/Center
- Northport, AL
- NPI 1417593625
-
- Physical Therapist
- Trussville, AL
- NPI 1811658016
-
- Interventional Pain Medicine Physician
- Hardeeville, SC
- NPI 1356582597
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.