Kenneth Luke Keach, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0000007556 Issued in TN

Practice address

6025 Lee Hwy Ste 445
Chattanooga, TN 37421-2966

Phone

(423) 499-4043

Fax

(423) 499-4045

NPI assigned

May 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Specialized Physical Therapy, PLLCGroup PAC ID 3678751294, 2 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.

• Specialized Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Chattanooga, TN
  • NPI 1265723464
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1114132560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 LEE HWY STE 445",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212966",
            "telephone_number": "423-499-4043",
            "fax_number": "423-499-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 LEE HWY STE 445",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212966",
            "telephone_number": "423-499-4043",
            "fax_number": "423-499-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEACH",
        "first_name": "KENNETH",
        "middle_name": "LUKE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "9099",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000007556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Kavkewitz, PH. D.
• Susan Pate Kavkewitz, LPE
• Andrea Sarine Kay, CRNA
• John Michael Woods Kaylor
• Mary E Kaylor, RN, CHC
• Patrick Wren Kearns, MD
• Mackenzie Elizabeth Keck, OTR
• Trinity Fisher Keck
• Rochelle Royce Keeble, RBT
• Catherine Varner Keegan, R.N.

• Physical Therapist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; 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.