NPIMap

Individual provider Active NPI

Kelsey R Duffield, P.T.

  • Physical Therapist
  • Alliance, NE
National Provider Identifier
1124331632
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2874 Issued in NE
Practice address
407 Black Hills Ave
Alliance, NE 69301-3243
Phone
(308) 762-6564
Fax
(308) 762-3747
NPI assigned
Jul 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2874 NE Primary

Addresses

Primary practice location

407 Black Hills Ave
Alliance, NE 69301-3243

Mailing address

407 Black Hills Ave
Alliance, NE 69301-3243
Phone (308) 762-6564

Other names 1

  • Kelsey R Eitel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100820001077 NE Practitioner - Physical Therapist in Private Practice 1850425166 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Independence Rehab LLC 25 clinicians
Key Rehabilitation Inc 59 clinicians

Practice addresses (Care Compare)

1102 W 42ND St
Scottsbluff, NE 69361-4711
Phone (877) 358-8067

617 W 33Rd St
Scottsbluff, NE 69361-4590
Phone (308) 632-1760

801 N Adams St
Papillion, NE 68046-4310
Phone (888) 362-8704

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2874NEMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Independence Rehab, LLC Physical Therapist CurrentSince Jan 31, 2023 Accepting new patients
Key Rehabilitation, Inc CurrentSince Aug 1, 2025 Accepting new patients
Key Rehabilitation Inc CurrentSince Aug 1, 2025 Accepting new patients

Locations

801 N Adams St
Papillion, NE 68046
Phone (402) 339-1775

1335 NW Broad St
Murfreesboro, TN 37129
Phone (615) 983-0240

5314 N River Run Dr
Ste 140
Provo, UT 84604
Phone (801) 471-2449

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1124331632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 BLACK HILLS AVE",
            "city": "ALLIANCE",
            "state": "NE",
            "postal_code": "693013243",
            "telephone_number": "308-762-6564",
            "fax_number": "308-762-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 BLACK HILLS AVE",
            "city": "ALLIANCE",
            "state": "NE",
            "postal_code": "693013243",
            "telephone_number": "308-762-6564",
            "fax_number": "308-762-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFIELD",
        "first_name": "KELSEY",
        "middle_name": "R",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-26",
        "last_updated": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "EITEL",
            "middle_name": "R",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alliance, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.