Active NPI
Keishla Marie Gonzalez-Acosta, MSPT
- Pediatric Physical Therapist
- Lexington, KY
National Provider Identifier
1194126508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 185
- Practice address
- 825 Tiffanie CT
Lexington, KY 40514-4082 - Phone
- (787) 459-6326
- NPI assigned
- Sep 5, 2014
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 185 | VI | Primary |
Addresses
Primary practice location
825 Tiffanie CT
Lexington, KY 40514-4082
Mailing address
337 Lucille Dr
Lexington, KY 40511-8600
Phone (787) 459-6326
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 |
|---|---|---|---|
| 185 | VI | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745712000000",
"number": "1194126508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "337 LUCILLE DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405118600",
"telephone_number": "787-459-6326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 TIFFANIE CT",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405144082",
"telephone_number": "787-459-6326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ-ACOSTA",
"first_name": "KEISHLA",
"middle_name": "MARIE",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-05",
"last_updated": "2025-04-27",
"certification_date": "2025-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "VI",
"license": "185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.