Individual provider Active NPI

Brianna Koshy, DPT

  • Physical Therapist
  • Columbia, SC
National Provider Identifier
1891400628
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14745 Issued in TN
Practice address
130 Forum Dr Ste 13
Columbia, SC 29229-7943
Phone
(803) 509-6880
NPI assigned
Jan 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 304935 CA
Physical Therapist 225100000X PT42663 FL
Physical Therapist 225100000X 14745 TN Primary
Physical Therapist 225100000X CP043861T SC

Addresses

Primary practice location

130 Forum Dr Ste 13
Columbia, SC 29229-7943

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other practice location 1

17796 SW 2nd St
Pembroke Pines, FL 33029-3923
Phone (954) 438-7800

Other practice location 2

227 Sandy Springs Pl Ste 404
Atlanta, GA 30328-5921
Phone (404) 843-2755

Other practice location 3

713 W Wade Hampton Blvd
Greer, SC 29650-1307
Phone (864) 479-6084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250505002189 SC Practitioner - Physical Therapist in Private Practice 1759808660 Reassigns benefits to 4 organizations
I20250917002959 MA Practitioner - Physical Therapist in Private Practice 1759808660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Alabama School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Drayer Physical Therapy-South Carolina ,LLCGroup PAC ID 7315171394, 43 clinicians
Bay State Physical Therapy of Randolph IncGroup PAC ID 6305744251, 451 clinicians
Greenville Proaxis Therapy LLCGroup PAC ID 0244267771, 221 clinicians

Practice addresses (Care Compare)

130 Forum Dr
Suite 13
Columbia, SC 29229-7943
Phone (803) 509-6880

45 Dimock St
Boston, MA 02119-1208
Phone (617) 445-0647

713 W Wade Hampton Blvd
Greer, SC 29650-1307
Phone (864) 479-6084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
304935CAMDPhysical Therapist
PT42663FLMDPhysical Therapist
14745TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Healthcare Services, LLC Physical Therapist CurrentSince Apr 30, 2025 Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince Sep 8, 2025 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Dec 1, 2025 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Apr 30, 2025 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist CurrentSince Apr 30, 2025 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Apr 30, 2025 Accepting new patients
Benchmark Health Services Physical Therapist CurrentSince Apr 30, 2025 Accepting new patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince Apr 30, 2025 Accepting new patients
Bay State Physical Therapy of Randolph Inc CurrentSince Sep 8, 2025 Accepting new patients

Locations

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

33205 Collection Ctr Dr
Chicago, IL 60693

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339

45 Dimock St
Roxbury, MA 02119

961 Roberts Branch Pkwy
Ste 113
Columbia, SC 29203
Phone (803) 675-5111

130 Forum Dr
Ste 13
Columbia, SC 29229
Phone (803) 509-6880

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

713 W Wade Hampton Blvd
Greer, SC 29650
Phone (864) 479-6084

1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058

7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031

3032 W Montague Ave
Ste 101
North Charleston, SC 29418
Phone (843) 885-8772

1672 N Main St
Ste 11
Summerville, SC 29486
Phone (843) 289-1456

Organizations & group practices 11

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1891400628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 FORUM DR STE 13",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297943",
            "telephone_number": "803-509-6880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17796 SW 2nd St",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330293923",
            "country_code": "US",
            "telephone_number": "954-438-7800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "227 Sandy Springs Pl Ste 404",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303285921",
            "country_code": "US",
            "telephone_number": "404-843-2755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "713 W Wade Hampton Blvd",
            "address_purpose": "LOCATION",
            "city": "Greer",
            "state": "SC",
            "postal_code": "296501307",
            "country_code": "US",
            "telephone_number": "864-479-6084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSHY",
        "first_name": "BRIANNA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-17",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "304935",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT42663",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "14745",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "CP043861T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.