Keith John Picht II, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

14-03959 Issued in KS

Practice address

1004 Progress Dr Ste 100
Lansing, KS 66043-6323

Phone

(913) 351-3586

Fax

(913) 351-3939

NPI assigned

Apr 6, 2022

Last updated

Mar 21, 2023By the provider in NPPES

Sex

Male

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

Practice roles

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.

• Athletico LTD

  dba Athletico Physical Therapy

  • Clinic/Center
  • Lafayette, IN
  • NPI 1053044867
  NPD (past)

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1336880921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "232-387-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 PROGRESS DR STE 100",
            "city": "LANSING",
            "state": "KS",
            "postal_code": "660436323",
            "telephone_number": "913-351-3586",
            "fax_number": "913-351-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICHT",
        "first_name": "KEITH",
        "middle_name": "JOHN",
        "name_suffix": "II",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-06",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-03959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peace at Heart Home Care Services
• Pelvicore PT LLC
• Rachel Ann Perry, PT, DPT
• Angela Petite, OTR
• Ernest E, Petite, CPTA
• Preferred PT, LLC (Preferred PT Lansing)
• Wendy G Price, MA, LPC
• Qadium Yeama Qayum, O.D.
• Veda Priya Reddy
• Sara A Redlin, DPT

• Physical Therapy Assistant in Lansing, KS
• Providers in Lansing, KS by specialty
• Physical Therapy Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.