Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Derek T Kelkenberg

Individual provider Physical Therapist · NPI 1336817675

Derek T Kelkenberg is registered under Physical Therapist in Private Practice in Greer, South Carolina. Qualified in 2021, 5 years ago. Practices with Advanced Care Physical Therapy Aquatics and Fitness PC, a 24-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021
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Practice location Address checks out

713 W Wade Hampton Blvd
Greer, SC 29650-1307
Phone: (864) 479-6084
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1336817675
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 1, 2021
Last updated in NPPESSeptember 1, 2021
Certification dateSeptember 1, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Advanced Care Physical Therapy Aquatics And Fitness Pc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients183
Services billed 2,227 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Advanced Care Physical Therapy Aquatics and Fitness PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 24 clinicians in the practice; 12 are shown here.

Other providers in Greer