Individual provider Active NPI

Christine L Keller, PT, DPT

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1407117708
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4340 Issued in HI
Practice address
1350 S King St Ste 303
Honolulu, HI 96814-2008
Phone
(631) 236-7060
NPI assigned
Jun 4, 2012
Last updated
Jul 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 033155-1 NY
Physical Therapist 225100000X 4340 HI Primary

Addresses

Primary practice location

1350 S King St Ste 303
Honolulu, HI 96814-2008

Mailing address

1350 S King St Ste 303
Honolulu, HI 96814-2008
Phone (631) 236-7060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171011002229 HI Practitioner - Physical Therapist in Private Practice 8628226529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hands-on Physical Therapy, Inc.Group PAC ID 8325067176, 6 clinicians

Practice addresses (Care Compare)

1441 Kapiolani Blvd
Suite 1113
Honolulu, HI 96814-4406
Phone (808) 218-3660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4340HIMDPhysical Therapist
033155-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hands-on Physical Therapy, Inc. Single Specialty CurrentSince Jul 13, 2022 Accepting new patients
Metaphysio Hawaii LLC Single Specialty CurrentSince Aug 2, 2020 Accepting new patients
THPT, Inc Single Specialty Past Accepting new patients

Locations

1350 S King St
Ste 303
Honolulu, HI 96814
Phone (631) 236-7060

1441 Kapiolani Blvd
Ste 1113
Honolulu, HI 96814
Phone (808) 218-3660

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1407117708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 S KING ST STE 303",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142008",
            "telephone_number": "631-236-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 S KING ST STE 303",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142008",
            "telephone_number": "631-236-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "CHRISTINE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-04",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033155-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "4340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.