Jeremy L. Kethley, M.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1134946 Issued in TX

Practice address

800 W Highway 290
BLDG. B, Suite 300
Dripping Springs, TX 78620-4191

Phone

(512) 858-5191

Fax

(512) 858-5194

NPI assigned

May 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jerl IncGroup PAC ID 2365521671, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Jerl, Inc.

  • Physical Therapy Clinic/Center
  • Dripping Springs, TX
  • NPI 1366631848

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Jerl, Inc.

  • Physical Therapy Clinic/Center
  • Dripping Springs, TX
  • NPI 1255109229
  NPD

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310428800000",
    "number": "1104870518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W HIGHWAY 290",
            "address_2": "BLDG. B, SUITE 300",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786204191",
            "telephone_number": "512-858-5191",
            "fax_number": "512-858-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W HIGHWAY 290",
            "address_2": "BLDG. B, SUITE 300",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786204191",
            "telephone_number": "512-858-5191",
            "fax_number": "512-858-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETHLEY",
        "first_name": "JEREMY",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2011-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1134946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155587201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anil K Kashyap, MD, DDS
• Kathleen Stinson,MD, P.a.
• Nikki Kelton, RN, BSN
• Natalie Michelle Kemp, M.S. CCC-SLP
• Erin Lynn Kethley, MPT
• Gurubachan Kaur Khalsa, CPM , LM
• Cameron Maxwell Kielhorn, D.O.
• Jennifer Lynn Killebrew, NURSE PRACTITIONER
• Christine Kloppe
• Kyle Knutson, MPT

• Physical Therapist in Dripping Springs, TX
• Providers in Dripping Springs, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; 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.