Individual provider Active NPI

Deborah Suzanne Keller, PT

  • Physical Therapist
  • Silsbee, TX
National Provider Identifier
1144328345
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1158718 Issued in TX
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, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1144328345MedicaidDE
P00692870OtherDEMEDICARE RR
3748325000OtherDEIBC
1144328345OtherDEDPCI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100927001241 TX Practitioner - Physical Therapist in Private Practice 9032216981 Reassigns benefits to 1 organization

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 100Reported as group
Quality
65.93
Promoting interoperability
94
Improvement activities
40
Cost
71.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J1-0002104DEMDPhysical Therapist
1158718TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The San Antonio Orthopaedic Group, LLP CurrentSince Dec 5, 2020 Accepting new patients
The San Antonio Orthopaedic Group, LLP CurrentSince Dec 5, 2020 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.