Active NPI
Kasey Therese Lorraine, PT, DPT, LAT, ATC
- Physical Therapist
- Savannah, GA
National Provider Identifier
1356847602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT017276
- Practice address
- 210 E Derenne Ave
Savannah, GA 31405-6736 - Phone
- (912) 644-5300
- NPI assigned
- Apr 4, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT017276 | GA | Primary |
| Athletic Trainer | 2255A2300X | 003914 | NY |
Addresses
Primary practice location
210 E Derenne Ave
Savannah, GA 31405-6736
Mailing address
13207 Tennyson LN
Savannah, GA 31405-0363
Phone (516) 341-9539
Other names 1
- Kasey Therese Keller
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, SC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Optim Orthopedics LLC
Practice addresses (Care Compare)
210 E Derenne Ave
Savannah, GA 31405-6736
Phone (912) 644-5300
8201 Pinellas Dr
Bluffton, SC 29910-4133
Phone (843) 705-9401
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT017276 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optim Orthopedics, LLC | Current | Accepting new patients | |
| Optim Orthopedics, LLC | Current | Accepting new patients | |
| Optim Orthopedics, LLC | Current | Accepting new patients | |
| Optim Orthopedics, LLC | Current | Accepting new patients | |
| Optim Orthopedics, LLC | Past | Accepting new patients |
Locations
210 E Derenne Ave
Savannah, GA 31405
Phone (912) 355-0140
8201 Pinellas Dr
Bluffton, SC 29910
Phone (843) 705-9401
Interoperability endpoints
- kasey.keller.1@16403.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Savannah, GA
- NPI 1780077982
-
- Orthopaedic Surgery Physician
- Bluffton, SC
- NPI 1528451481
-
- Orthopaedic Surgery Physician
- Claxton, GA
- NPI 1033676515
-
- Orthopaedic Surgery Physician
- Jesup, GA
- NPI 1467845404
-
- Orthopaedic Surgery Physician
- Midway, GA
- NPI 1821639758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772064000000",
"number": "1356847602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13207 TENNYSON LN",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314050363",
"telephone_number": "516-341-9539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 E DERENNE AVE",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314056736",
"telephone_number": "912-644-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LORRAINE",
"first_name": "KASEY",
"middle_name": "THERESE",
"credential": "PT, DPT, LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-04",
"last_updated": "2026-02-26",
"certification_date": "2026-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT017276",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "003914",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KASEY",
"last_name": "KELLER",
"middle_name": "THERESE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.