Keith John Rex, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00003362 Issued in WA

Practice address

9501 5TH Ave NE
Seattle, WA 98115-2108

Phone

(206) 522-7141

Fax

(206) 522-7234

NPI assigned

Apr 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356463624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 5TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152108",
            "telephone_number": "206-522-7141",
            "fax_number": "206-522-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 5TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152108",
            "telephone_number": "206-522-7141",
            "fax_number": "206-522-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REX",
        "first_name": "KEITH",
        "middle_name": "JOHN",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00003362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7060346",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Revive Movement LLC
• Revive Smiles Dentistry, LLC
• Revive Therapeutics
• Revolution Wellness and Therapy
• Rex Physical Therapy Services
• Hoo Yee Leung Rexroth, AUD
• Erin RW Reyburn, LPC
• Jorge Rodrigo Reyes Alvarez del Castillo, MA
• Roma Reyes-Cambronero, DNP, ARNP, AGNP-C
• Gabriel Reyes-Gomez

• Physical Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Physical Therapist in Washington

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.