Keith William Lancaster, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05004606A Issued in IN

Practice address

1310 Manchester Ave
Wabash, IN 46992-1615

Phone

(260) 563-5630

NPI assigned

Mar 24, 2007

Last updated

May 19, 2026By 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Indiana Wesleyan University

  dba The Center for Sports & Physical Therapy

  • Physical Therapist
  • Marion, IN
  • NPI 1154258366
  Medicare reassignment
• Indiana Wesleyan University

  dba The Center for Sports & Physical Therapy

  • Physical Therapist
  • Wabash, IN
  • NPI 1316874522
  NPD (past)
• The Center for Sports & Physical Therapy

  • Physical Therapist
  • Marion, IN
  • NPI 1811014681
  NPD (past)

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1447377304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 S ADAMS ST",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469535349",
            "telephone_number": "765-674-4455",
            "fax_number": "765-674-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 MANCHESTER AVE",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469921615",
            "telephone_number": "260-563-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCASTER",
        "first_name": "KEITH",
        "middle_name": "WILLIAM",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-24",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05004606A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000352156",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "05004606A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stefanie Knote
• Kroger Limited Partnership I (Kroger Pharmacy)
• Lisa Renee Kroh, RPH
• Megan Marie Krom, FNP-C
• Ladd Dental Group of Wabash, P.C.
• Janet Lynn Larkin, LMHC
• James Lebamoff, MD
• Kathleen Leckrone, NP
• Andrew A Liechty, LCSW
• Lighted City Emergency Physicians, LLC

• Physical Therapist in Wabash, IN
• Providers in Wabash, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.

Verify at the official NPI Registry.