Individual provider Active NPI

Keith Perry, DPT

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1205205275
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1266799 Issued in CT
Practice address
2500 Fondren Rd
Suite 302
Houston, TX 77063-2308
Phone
(832) 252-8058
NPI assigned
Sep 21, 2015
Last updated
Dec 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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 1266799 CT Primary

Addresses

Primary practice location

2500 Fondren Rd
Suite 302
Houston, TX 77063-2308

Mailing address

505 Willard Ave Ste 1D
Newington, CT 06111-2630
Phone (516) 680-9677

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231113001774 CT Practitioner - Physical Therapist in Private Practice 8022316553 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1266799CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ptsma, Inc. Physical Therapist Current Accepting new patients
Ptsma, Inc. CurrentSince Sep 18, 2023 Accepting new patients
Ptsma Inc CurrentSince Sep 18, 2023 Accepting new patients
Madison Rehabilitation Center Inc Physical Therapist CurrentSince Sep 18, 2023 Accepting new patients

Locations

505 Willard Ave
Ste 1D
Newington, CT 06111
Phone (860) 665-8265

37 S Broad St
Ste 12
Pawcatuck, CT 06379
Phone (860) 495-1919

719 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 257-7473

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": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1205205275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 WILLARD AVE STE 1D",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112630",
            "telephone_number": "516-680-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 FONDREN RD",
            "address_2": "SUITE 302",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632308",
            "telephone_number": "832-252-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "KEITH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-21",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "1266799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.