Individual provider Active NPI

Darla Marie Keyes, LPT

  • Physical Therapist
  • Gulfport, FL
National Provider Identifier
1457443004
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0006428 Issued in FL
Practice address
2825 Seabreeze Dr
Gulfport, FL 33707
Phone
(727) 215-3590
Fax
(727) 344-1543
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT0006428 FL Primary

Addresses

Primary practice location

2825 Seabreeze Dr
Gulfport, FL 33707

Mailing address

2825 Seabreeze Dr
Gulfport, FL 33707
Phone (727) 215-3590

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090331000621 FL Practitioner - Physical Therapist in Private Practice 3678630928 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT0006428FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Step Ahead Physical Therapy LLC Physical Therapist CurrentSince Feb 1, 2022 Accepting new patients
Advance Physical Therapy and Wellness Inc Physical Therapist CurrentSince May 11, 2019 Accepting new patients
New Horizon Pediatric Services LLC Physical Therapist CurrentSince Jan 20, 2019 Accepting new patients

Locations

4707 140th Ave N
Ste 313
Clearwater, FL 33762
Phone (727) 223-8978

13777 Belcher Rd S
Largo, FL 33771
Phone (727) 532-1900

14280 Walsingham Rd
Largo, FL 33774
Phone (727) 596-2101

419 Pasadena Ave S
St Petersburg, FL 33707
Phone (727) 384-4600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457443004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 SEABREEZE DR",
            "city": "GULFPORT",
            "state": "FL",
            "postal_code": "33707",
            "telephone_number": "727-215-3590",
            "fax_number": "727-344-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 SEABREEZE DR",
            "city": "GULFPORT",
            "state": "FL",
            "postal_code": "33707",
            "telephone_number": "727-215-3590",
            "fax_number": "727-344-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYES",
        "first_name": "DARLA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT0006428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, FL

Sources for this page

  • 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.