Mary Keller, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT009014 Issued in KY

Practice address

2190 New Holt Rd Ste D
Paducah, KY 42001-8929

Phone

(270) 557-2121

NPI assigned

Feb 7, 2024

Last updated

Feb 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Elevate Physical Therapy, LLC

  • Physical Therapist
  • Paducah, KY
  • NPI 1811842875
  Medicare reassignment NPD Authorized official
• Renewed Performance, LLC

  • Physical Therapist
  • Nicholasville, KY
  • NPI 1821681792
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1235993635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 KEN LN",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420038803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 NEW HOLT RD STE D",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420018929",
            "telephone_number": "270-557-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "MARY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "PT009014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autumn Keegan
• Craig D Keene
• Timothy Keene
• Leon Frank Kehrer II, APRN
• Vratislav V Kejzlar, MD
• Rudy Kellett
• Cecilia Kelley-Burt, RBT
• Amber Renee Kelley-Harned, RPH
• Ronald L Kelley, M.D.
• Samuel K Kelley, M.D.

• Physical Therapist in Paducah, KY
• Providers in Paducah, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.