Nicholas Thomas Keller, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT026210 Issued in PA

Practice address

5708 Wayne Rd
Du Bois, PA 15801-1198

Phone

(814) 594-0569

NPI assigned

Jul 27, 2017

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Phoenix Rehabilitation and Health Services, Inc.

  • Physical Therapist
  • Cranberry Township, PA
  • NPI 1720084155
  NPD (past)
• Phoenix Rehabilitation and Health Services, Inc.

  • Speech-Language Pathologist
  • Blairsville, PA
  • NPI 1972604783
  NPD (past)

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1033633417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5708 WAYNE RD",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5708 WAYNE RD",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011198",
            "telephone_number": "814-594-0569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1294 E Main St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Clarion",
            "state": "PA",
            "postal_code": "162141212",
            "country_code": "US",
            "telephone_number": "814-297-8093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLER",
        "first_name": "NICHOLAS",
        "middle_name": "THOMAS",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-27",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christos Karalis
• Raj Ramanuj Kaushik, M.D.
• Melissa Lee Kearney, B. S.
• Autumn L. Keefer, PHD
• Robyn Charlene Keith, P.T.
• Ashley Brooke Kelly, B.S
• Jacob J Kendrick, MHRM
• Alaina L Kennedy, BS
• Shawna Marie Kennedy, LPC
• Michael Steven Kennelly, CRNP

• Physical Therapist in Du Bois, PA
• Providers in Du Bois, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.