Active NPI
Keegan Lambeth
- Physical Therapist
- Helena, AL
National Provider Identifier
1053943274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH9725
- Practice address
- 4690 Highway 17
Helena, AL 35080-3501 - Phone
- (205) 624-4708
- NPI assigned
- Feb 5, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH9725 | AL | Primary |
Addresses
Primary practice location
4690 Highway 17
Helena, AL 35080-3501
Mailing address
2823 Greystone Commercial Blvd
Birmingham, AL 35242-2660
Phone (205) 745-3660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PTH9725 | Other | AL | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200306002428 | AL | Practitioner - Physical Therapist in Private Practice | 7315375243 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH9725 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy South Helena LLC | Physical Therapist | Current | Accepting new patients |
Locations
4690 Highway 17
Helena, AL 35080
Phone (205) 624-4708
2823 Greystone Commercial Blvd
Hoover, AL 35242
Phone (205) 408-1713
Organizations & group practices 1
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.
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Alabama School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Therapy South Helena LLC
Practice addresses (Care Compare)
4690 Hwy 17
Helena, AL 35080-3501
Phone (205) 624-4708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580860800000",
"number": "1053943274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2823 GREYSTONE COMMERCIAL BLVD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352422660",
"telephone_number": "205-745-3660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4690 HIGHWAY 17",
"city": "HELENA",
"state": "AL",
"postal_code": "350803501",
"telephone_number": "205-624-4708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMBETH",
"first_name": "KEEGAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-05",
"last_updated": "2020-02-05",
"certification_date": "2020-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH9725",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PTH9725",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Helena, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.