Jennifer A Keller

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1999 Issued in ND

Practice address

800 S Main Ave
Rugby, ND 58368-2118

Phone

(701) 776-5455

Fax

(701) 776-7015

NPI assigned

Jun 7, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Good Samaritan Hospital Association

  • Emergency Medicine Physician
  • Rugby, ND
  • NPI 1588751325

  ND

  Medicare reassignment NPD
• Good Samaritan Hospital Association

  • Family Medicine Physician
  • Maddock, ND
  • NPI 1740451038
  NPD (past)

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1497248264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S MAIN AVE",
            "city": "RUGBY",
            "state": "ND",
            "postal_code": "583682118",
            "telephone_number": "107-776-5455",
            "fax_number": "701-776-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S MAIN AVE",
            "city": "RUGBY",
            "state": "ND",
            "postal_code": "583682118",
            "telephone_number": "701-776-5455",
            "fax_number": "701-776-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "1999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josalynne Ladawn Hoff Rue, M.D.
• Horizons Speech Therapy Services, LLC
• Johnson Clinic PC
• Kathryn Johnson
• Kayla K Johnson, PT
• Marilyn A Kitzman, FNP, PA-C
• Sara Lynn Kleven
• Linda T Korner, LDR
• Rebecca Anne Kraft, PT
• Lori Anne Kurtz, OTR/L

• All providers in Rugby, ND
• Physical Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.