Briana Keller, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501019816 Issued in MI

Practice address

23800 W 10 Mile Rd Ste 193
Southfield, MI 48033-3194

Phone

(248) 827-1100

Fax

(248) 827-1120

NPI assigned

Nov 12, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Michigan Medical School, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Walk the Line to Sci Recovery IncGroup PAC ID 3072656206, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Walk the Line to Sci Recovery, Inc.

  • Physical Therapy Clinic/Center
  • Southfield, MI
  • NPI 1568691020

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1023610284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23800 W 10 MILE RD STE 193",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333194",
            "telephone_number": "248-827-1100",
            "fax_number": "248-827-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23800 W 10 MILE RD STE 193",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333194",
            "telephone_number": "248-827-1100",
            "fax_number": "248-827-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "BRIANA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Suzanne Keehl, RN, MSN, FNP-BC
• Heather Rose Keillor
• Keith a. Johnstone M.D., P.C.
• Prashant Sudhir Kelkar, D.O.
• Jennifer Marie Kelleher, RPH
• Mia Keller
• Jasmine Kellum
• Ariana Kelly
• John Kelly Jr., DO
• Joy Alaine Kelly, AGPCNP-BC

• Physical Therapist in Southfield, MI
• Providers in Southfield, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.