Active NPI
Deborah Suzanne Keller, PT
- Physical Therapist
- Silsbee, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1158718
- Practice address
- 1162 Highway 327 E
Silsbee, TX 77656-5120 - Phone
- (409) 385-2500
- Fax
- (409) 385-2502
- NPI assigned
- Sep 20, 2006
- Last updated
- Jun 24, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | J1-0002104 | DE | |
| Physical Therapist | 225100000X | 1158718 | TX | Primary |
Addresses
Primary practice location
1162 Highway 327 E
Silsbee, TX 77656-5120
Mailing address
1162 Highway 327 E
Silsbee, TX 77656-5120
Phone (409) 385-2500
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144328345 | Medicaid | DE | |
| P00692870 | Other | DE | MEDICARE RR |
| 3748325000 | Other | DE | IBC |
| 1144328345 | Other | DE | DPCI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11212 State Hwy 151
Suite 150
San Antonio, TX 78251-4505
Phone (210) 804-5400
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.86 of 100
- Quality
- 65.93
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 71.93
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J1-0002104 | DE | MD | Physical Therapist |
| 1158718 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The San Antonio Orthopaedic Group, LLP | Current | Accepting new patients | |
| The San Antonio Orthopaedic Group, LLP | Current | Accepting new patients | |
| Trinity Regional Medical Center | Past | Accepting new patients | |
| Dynamic Therapy Services LLC | Physical Therapist | Past | Accepting new patients |
Locations
11212 State Highway 151
Ste 150
San Antonio, TX 78251
Phone (210) 233-1215
1200 Brooklyn Ave
Ste 320
San Antonio, TX 78212
Phone (210) 225-5741
400 Concord Plaza Dr
Ste 300
San Antonio, TX 78216
Phone (210) 804-5416
Interoperability endpoints
- deborah.keller.1@94.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- San Antonio, TX
- NPI 1720022494
-
- Orthopedic Physical Therapist
- San Antonio, TX
- NPI 1770042152
-
dba Pivot Physical Therapy of Mid Atlantic, LLC
- Physical Therapist
- Seaford, DE
- NPI 1205875093
-
dba UnityPoint Clinic
- Emergency Medicine Physician
- Fort Dodge, IA
- NPI 1073594156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277337600000",
"number": "1144328345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1162 HIGHWAY 327 E",
"city": "SILSBEE",
"state": "TX",
"postal_code": "776565120",
"telephone_number": "409-385-2500",
"fax_number": "409-385-2502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1162 HIGHWAY 327 E",
"city": "SILSBEE",
"state": "TX",
"postal_code": "776565120",
"telephone_number": "409-385-2500",
"fax_number": "409-385-2502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "DEBORAH",
"middle_name": "SUZANNE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2010-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0002104",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1158718",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1144328345",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P00692870",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC",
"identifier": "3748325000",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DPCI",
"identifier": "1144328345",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Silsbee, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.