Bonita Keeling, M.P.T.. PCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1122315 Issued in TX

Practice address

3310 S Broadway Ave Ste 100I
Tyler, TX 75701-7818

Phone

(903) 781-1832

Fax

(877) 798-4959

NPI assigned

Nov 10, 2006

Last updated

Sep 18, 2026By the provider in NPPES

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bo Keeling, PLLC

  • Physical Therapist
  • Tyler, TX
  • NPI 1639526783
  NPD Authorized official

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1508937913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19142 BIG TIMBER RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757038610",
            "telephone_number": "903-780-3505",
            "fax_number": "877-798-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 S BROADWAY AVE STE 100I",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757017818",
            "telephone_number": "903-781-1832",
            "fax_number": "877-798-4959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6141 Paluxy Dr Ste 132",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757035976",
            "country_code": "US",
            "telephone_number": "903-781-1832",
            "fax_number": "877-798-4959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEELING",
        "first_name": "BONITA",
        "credential": "M.P.T.. PCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1122315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "366216502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36621603",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PAR, BCBS BLUE LINK",
            "identifier": "84132T, 63657",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kassi Kay
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• Janet Rene Keais-Gross, DO
• Lora Keating-Rosell
• Valencia Kee-Haynes
• Ashley Keeter
• Seedy Keita
• Charles Joseph Keith Jr., M.D.
• Leslie Keller
• Ana Kellermann Jimenez

• Physical Therapist in Tyler, TX
• Providers in Tyler, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.