Active NPI
Nathaniel Tyler Kephart, DPT
- Physical Therapist
- Saint Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT34598
- Practice address
- 6775 40TH Ave N
Saint Petersburg, FL 33709-4939 - Phone
- (727) 803-1102
- NPI assigned
- Oct 4, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT003225 | WV | |
| Physical Therapist | 225100000X | PT34598 | FL | Primary |
Addresses
Primary practice location
6775 40TH Ave N
Saint Petersburg, FL 33709-4939
Mailing address
260 1St Ave S Ste 200
Saint Petersburg, FL 33701-4364
Phone (727) 308-9848
Other practice location 1
1076 Ribaut Rd
Suite 102
Beaufort, SC 29902-5476
Phone (843) 521-1970
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, FL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
802 E Whiting St
Tampa, FL 33602-4136
Phone (716) 523-1783
Merit-based Incentive Payment System (MIPS)
- Final score
- 58.53 of 100
- Quality
- 0
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 65.95
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT003225 | WV | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Visitry Florida LLC | Physical Therapist | Current | Accepting new patients |
| Advanced Medical of Florida LLC | Physical Therapist | Past | Accepting new patients |
| Palmetto Therapy Services | Physical Therapist | Past | Accepting new patients |
Locations
802 E Whiting St
Tampa, FL 33602
Phone (716) 523-1783
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
2333 Ashley River Rd
Charleston, SC 29414
Phone (843) 258-5538
Interoperability endpoints
- https://api.platform.athenahealth.com/24544/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- Physical Therapist
- Tampa, FL
- NPI 1659131837
-
- Multi-Specialty Clinic/Center
- Charleston, SC
- NPI 1902476633
Physical Therapist
-
- Multi-Specialty Clinic/Center
- Williamsburg, VA
- NPI 1881366730
Physical Therapist
-
- Physical Therapist
- Clearwater, FL
- NPI 1053728782
-
- Physical Therapy Clinic/Center
- Hilton Head Island, SC
- NPI 1972560670
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559606400000",
"number": "1487081493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 1ST AVE S STE 200",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337014364",
"telephone_number": "727-308-9848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6775 40TH AVE N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337094939",
"telephone_number": "727-803-1102"
}
],
"practiceLocations": [
{
"address_1": "1076 Ribaut Rd",
"address_2": "Suite 102",
"address_purpose": "LOCATION",
"city": "Beaufort",
"state": "SC",
"postal_code": "299025476",
"country_code": "US",
"telephone_number": "843-521-1970",
"fax_number": "843-521-0908",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEPHART",
"first_name": "NATHANIEL",
"middle_name": "TYLER",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-10-04",
"last_updated": "2019-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "WV",
"license": "PT003225",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT34598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.