Active NPI
Justin Keys, DPT
- Physical Therapist
- Childress, TX
National Provider Identifier
1124202957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1150799
- Practice address
- Hwy 83 North
Childress, TX 79201 - Phone
- (940) 937-6371
- Fax
- (940) 937-9153
- NPI assigned
- Dec 28, 2007
- Last updated
- Dec 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 1150799 | TX | Primary |
Addresses
Primary practice location
Hwy 83 North
Childress, TX 79201
Mailing address
PO Box 1030
Childress, TX 79201-1030
Phone (940) 937-6371
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1150799 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198800000000",
"number": "1124202957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1030",
"city": "CHILDRESS",
"state": "TX",
"postal_code": "792011030",
"telephone_number": "940-937-6371",
"fax_number": "940-937-9153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HWY 83 NORTH",
"city": "CHILDRESS",
"state": "TX",
"postal_code": "79201",
"telephone_number": "940-937-6371",
"fax_number": "940-937-9153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEYS",
"first_name": "JUSTIN",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-28",
"last_updated": "2007-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1150799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Childress, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.