Individual provider Active NPI

Brannigan Riley Keller, PT, DPT

  • Physical Therapist
  • Chelsea, AL
National Provider Identifier
1326607185
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH6231 Issued in AL
Practice address
104 Chelsea Point Dr
Chelsea, AL 35043-4100
Phone
(205) 453-9400
Fax
(205) 453-9410
NPI assigned
Jun 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT26143 FL
Geriatric Physical Therapist 2251G0304X PTH6231 AL
Pediatric Physical Therapist 2251P0200X PTH6231 AL
Physical Therapist 225100000X PTH6231 AL Primary

Addresses

Primary practice location

104 Chelsea Point Dr
Chelsea, AL 35043-4100

Mailing address

199 N Brookmoore Dr
Columbus, MS 39705-2024
Phone (662) 327-6705

Other practice location 1

1979 Lakeside Pkwy Ste 800
Tucker, GA 30084-5856
Phone (770) 225-3191

Other practice location 2

153 Narrows Pkwy Ste 101
Birmingham, AL 35242-8601
Phone (205) 981-4534

Other names 1

  • Brannigan Alesha Riley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT26143FLMDPhysical Therapist
PTH6231ALMDPediatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1326607185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 N BROOKMOORE DR",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052024",
            "telephone_number": "662-327-6705",
            "fax_number": "662-327-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CHELSEA POINT DR",
            "city": "CHELSEA",
            "state": "AL",
            "postal_code": "350434100",
            "telephone_number": "205-453-9400",
            "fax_number": "205-453-9410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1979 Lakeside Pkwy Ste 800",
            "address_purpose": "LOCATION",
            "city": "Tucker",
            "state": "GA",
            "postal_code": "300845856",
            "country_code": "US",
            "telephone_number": "770-225-3191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "153 Narrows Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352428601",
            "country_code": "US",
            "telephone_number": "205-981-4534",
            "fax_number": "205-981-4535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLER",
        "first_name": "BRANNIGAN",
        "middle_name": "RILEY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT26143",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "AL",
            "license": "PTH6231",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "AL",
            "license": "PTH6231",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH6231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANNIGAN",
            "last_name": "RILEY",
            "middle_name": "ALESHA",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chelsea, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.