Active NPI
Sara Keller
- Physical Therapist
- MC Lean, VA
National Provider Identifier
1154891737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 23443
- Practice address
- 6251 Old Dominion Dr
MC Lean, VA 22101-4827 - Phone
- (703) 536-4344
- NPI assigned
- Nov 27, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 23443 | MA | Primary |
Addresses
Primary practice location
6251 Old Dominion Dr
MC Lean, VA 22101-4827
Mailing address
7014 Capitol View Dr
MC Lean, VA 22101-2614
Phone (913) 461-7961
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23443 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641254400000",
"number": "1154891737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7014 CAPITOL VIEW DR",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221012614",
"telephone_number": "913-461-7961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6251 OLD DOMINION DR",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221014827",
"telephone_number": "703-536-4344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "SARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-27",
"last_updated": "2022-01-04",
"certification_date": "2022-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "23443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in MC Lean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.