Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Derek T Kelkenberg

Individual provider Physical Therapist · NPI 1336817675

Derek T Kelkenberg is a 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
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

713 W Wade Hampton Blvd
Greer, SC 29650-1307
Phone: (864) 479-6084
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Other providers in Greer