James (Jim) L Keller, PHD, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT176 Issued in AR

Practice address

2929 S Caraway Rd
Suite 15
Jonesboro, AR 72401-7307

Phone

(870) 935-1414

Fax

(870) 935-1425

NPI assigned

Jun 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554422400000",
    "number": "1275561243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 S CARAWAY RD",
            "address_2": "SUITE 15",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017307",
            "telephone_number": "870-935-1414",
            "fax_number": "870-935-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 S CARAWAY RD",
            "address_2": "SUITE 15",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017307",
            "telephone_number": "870-935-1414",
            "fax_number": "870-935-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "JAMES (JIM)",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PHD, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2019-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5614",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "104",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11424712",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149795742",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "71076580230",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121901721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Simrat Kaur, DO
• Leah Keasler
• Kevin W Kee, LPN
• Emaleigh Keith
• Margaret E.J. Kell, DO
• Manette Keller, PT,DPT
• Shelly Keller
• Stacey M Keller
• Carlie Kellett
• Brenda Kelley, PTA1770

• Physical Therapist in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; 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.