Organization Active NPI

Jo Anne Keller PT LLC

  • Early Intervention Provider Agency
  • Kersey, PA
National Provider Identifier
1114199023
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
JO ANNE KELLER PT LLC
Practice address
779 Brandy Camp Rd
Kersey, PA 15846-1503
Phone
(814) 885-6507
Fax
(814) 885-6282
NPI assigned
Mar 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Jo Keller, P.T.NPI 1841325982
Title
President
Phone
(814) 885-6507

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

779 Brandy Camp Rd
Kersey, PA 15846-1503

Mailing address

779 Brandy Camp Rd
Kersey, PA 15846-1503
Phone (814) 885-6507

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1114199023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "779 BRANDY CAMP RD",
            "city": "KERSEY",
            "state": "PA",
            "postal_code": "158461503",
            "telephone_number": "814-885-6507",
            "fax_number": "814-885-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 BRANDY CAMP RD",
            "city": "KERSEY",
            "state": "PA",
            "postal_code": "158461503",
            "telephone_number": "814-885-6507",
            "fax_number": "814-885-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JO ANNE KELLER PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "JO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-885-6507",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kersey, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.