NPIMap

Organization Active NPI

Radius Physical Therapy of South Carolina

  • Physical Therapy Clinic/Center
  • Hilton Head Island, SC
National Provider Identifier
1972203073
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
RADIUS PHYSICAL THERAPY OF SOUTH CAROLINA
Practice address
400 Main St Ste 200A4
Hilton Head Island, SC 29926-4628
Phone
(855) 583-3537
Fax
(855) 966-4087
NPI assigned
Mar 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Brad Keisling, MSPTNPI 1366471906
Title
Director of Corporate Operations
Phone
(842) 441-0595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

400 Main St Ste 200A4
Hilton Head Island, SC 29926-4628

Mailing address

400 Main St Ste 200A4
Hilton Head Island, SC 29926-4628
Phone (855) 583-3537

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230720001407 SC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8921468059 Receives reassigned benefits from 4 practitioners
Practice locations: Mount Pleasant, SC

National Provider Directory

National Provider Directory

Locations

400 Main St
Ste 200A4
Hilton Head Island, SC 29926
Phone (855) 583-3537

11 Ewall St
Ste 159
Mt Pleasant, SC 29464
Phone (843) 972-7199

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1972203073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MAIN ST STE 200A4",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299264628",
            "telephone_number": "855-583-3537",
            "fax_number": "855-966-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MAIN ST STE 200A4",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299264628",
            "telephone_number": "855-583-3537",
            "fax_number": "855-966-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIUS PHYSICAL THERAPY OF SOUTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "KEISLING",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "DIRECTOR OF CORPORATE OPERATIONS",
        "authorized_official_telephone_number": "842-441-0595",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.