Active NPI
Hollie Keith, PT
- Physical Therapy Assistant
- Saint Joseph, MO
National Provider Identifier
1467838144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2007026756
- Practice address
- 3007 N Belt Hwy
Saint Joseph, MO 64506-2064 - Phone
- (816) 271-6540
- NPI assigned
- Aug 5, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2007026756 | MO | Primary |
Addresses
Primary practice location
3007 N Belt Hwy
Saint Joseph, MO 64506-2064
Mailing address
3007 N Belt Hwy
Saint Joseph, MO 64506-2064
Phone (816) 271-6540
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007026756 | MO | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438732800000",
"number": "1467838144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3007 N BELT HWY",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645062064",
"telephone_number": "816-271-6540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3007 N BELT HWY",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645062064",
"telephone_number": "816-271-6540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEITH",
"first_name": "HOLLIE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-05",
"last_updated": "2015-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MO",
"license": "2007026756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.