Active NPI
John Andrew Keller Jr., CMT
- Massage Therapist
- Ephrata, PA
National Provider Identifier
1427352830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 904 Dawn Ave
Ephrata, PA 17522 - Phone
- (717) 733-8900
- NPI assigned
- Dec 28, 2010
- Last updated
- Dec 28, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Primary |
Addresses
Primary practice location
904 Dawn Ave
Ephrata, PA 17522
Mailing address
1013 W Main St
Mount Joy, PA 17552
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293494400000",
"number": "1427352830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1013 W MAIN ST",
"city": "MOUNT JOY",
"state": "PA",
"postal_code": "17552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 DAWN AVE",
"city": "EPHRATA",
"state": "PA",
"postal_code": "17522",
"telephone_number": "717-733-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "JOHN",
"middle_name": "ANDREW",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "CMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-28",
"last_updated": "2010-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ephrata, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.