Individual provider Active NPI

Emily Keilholz, PT, DPT

  • Physical Therapist
  • Torrance, CA
National Provider Identifier
1215612106
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2023023126 Issued in MO
Practice address
3460 Torrance Blvd Ste 100
Torrance, CA 90503-5812
Phone
(310) 371-8555
NPI assigned
Jun 19, 2023
Last updated
Nov 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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 2023023126 MO Primary

Addresses

Primary practice location

3460 Torrance Blvd Ste 100
Torrance, CA 90503-5812

Mailing address

12380 De Paul Dr
Bridgeton, MO 63044-2511

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240729003875 CA Practitioner - Physical Therapist in Private Practice 1355887142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Balance Lab Physical Therapy and Fitness PCGroup PAC ID 7315200797, 11 clinicians

Practice addresses (Care Compare)

2818 Santa Monica Blvd
Santa Monica, CA 90404-2410
Phone (424) 272-9589

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2023023126MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids in Motion Physical Therapy, Inc CurrentSince Dec 3, 2023 Accepting new patients
Kids in Motion Pediatric Therapy CurrentSince Dec 3, 2023 Accepting new patients

Locations

3460 Torrance Blvd
Ste 100
Torrance, CA 90503
Phone (310) 371-8555

Organizations & group practices 3

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": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1215612106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12380 DE PAUL DR",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 TORRANCE BLVD STE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035812",
            "telephone_number": "310-371-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEILHOLZ",
        "first_name": "EMILY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2023023126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.