Jessica Marie Keltner, PT, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 20892 Issued in FL

Practice address

100 W Gore St
Suite 301
Orlando, FL 32806-1044

Phone

(407) 481-8861

Fax

(407) 481-8862

NPI assigned

Apr 11, 2007

Sex

Female

Sole proprietor

Yes

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 MO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arc Physical Therapy Plus LPGroup PAC ID 6204050453, 59 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arc Physical Therapy Plus LP

  • Physical Therapist
  • Overland Park, KS
  • NPI 1851715353

  MO

  Medicare reassignment Care Compare group NPD
• Arc Physical Therapy Plus LP

  • Durable Medical Equipment & Medical Supplies
  • Kansas City, MO
  • NPI 1568180545
  NPD

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326261090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9224 AMITY CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328171365",
            "telephone_number": "407-678-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W GORE ST",
            "address_2": "SUITE 301",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061044",
            "telephone_number": "407-481-8861",
            "fax_number": "407-481-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELTNER",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PT, OCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 20892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Kelly, DPT
• Sheryll Ann Kelly
• Susan Staba Kelly, MD
• Kai Rebecca Kelmachter, AU.D.
• Ashley Nicole Kelso
• Heidy Maritza Kempthorne
• Abigail Kempton, RBT
• Ken Drugs, Inc.
• Anne L. Kencos-Hajek, D.D.S.
• Lauren Marie Kendall Rauchfuss, M.D.

• Physical Therapist in Orlando, FL
• Providers in Orlando, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.