Sallie Keller, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306603128 Issued in VA

Practice address

8254 Atlee Rd
Mechanicsville, VA 23116-1844

Phone

(804) 342-4300

Fax

(804) 342-4316

NPI assigned

Oct 17, 2011

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1245515790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 MILL MANOR DR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231127001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8254 ATLEE RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231161844",
            "telephone_number": "804-342-4300",
            "fax_number": "804-342-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "SALLIE",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306603128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Robert Keefer, M.D.
• Ann Keever, DPT
• Annette Alyson Keffer, DPT
• Gerald E Keightley, M.D.
• Chloe Elaine Kellam, WHNP-BC
• Catherine Clancy Kellis, DC
• Karlie Kellstrom, PA
• Kelly M. Chadwick, LCSW, LLC (KMC, LLC)
• David L. Kelly, M.D.
• Leah Kemler, PA-C

• Physical Therapy Assistant in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.