Individual provider Active NPI

Katherine Leanne Keyser, DPT

  • Physical Therapist
  • Gaithersburg, MD
National Provider Identifier
1538837398
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305214593 Issued in VA
Practice address
9156 Rothbury Dr
Gaithersburg, MD 20886-1400
Phone
(240) 690-7595
Fax
(240) 220-2403
NPI assigned
Sep 5, 2021
Last updated
Dec 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X MD
Physical Therapist 225100000X PT38520 FL
Physical Therapist 225100000X 2305214593 VA Primary

Addresses

Primary practice location

9156 Rothbury Dr
Gaithersburg, MD 20886-1400

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

4125 Ironbound Rd Ste 100
Williamsburg, VA 23188-2666
Phone (757) 220-8383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240105003848 DC Practitioner - Physical Therapist in Private Practice 8628461563 Reassigns benefits to 1 organization
I20241203003670 AL Practitioner - Physical Therapist in Private Practice 8628461563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.09 of 100Reported as group
Quality
89.13
Improvement activities
40
Cost
73.57

Merit-based Incentive Payment System (MIPS)

Final score
86.04 of 100Reported as group
Quality
90
Improvement activities
40
Cost
71.81

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT38520FLMDPhysical Therapist
2305214593VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Nov 19, 2022 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jan 8, 2024 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jan 8, 2024 Accepting new patients
Ati Holdings of Alabama, LLC Physical Therapist CurrentSince Aug 12, 2024 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Nov 19, 2022 Accepting new patients
Ideal Rehabilitation LLC PastSince Apr 10, 2023 Accepting new patients

Locations

1877 Cherokee Ave SW
Cullman, AL 35055
Phone (256) 727-1701

50 Commons Way
Ste D
Oxford, AL 36203
Phone (256) 403-2807

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

9156 Rothbury Dr
Gaithersburg, MD 20886
Phone (240) 690-7595

11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280

350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919

10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210

12494 Warwick Blvd
Newport News, VA 23606
Phone (804) 217-9210

4125 Ironbound Rd
Ste 100
Williamsburg, VA 23188
Phone (757) 220-8383

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1630800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1538837398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9156 ROTHBURY DR",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208861400",
            "telephone_number": "240-690-7595",
            "fax_number": "240-220-2403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4125 Ironbound Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231882666",
            "country_code": "US",
            "telephone_number": "757-220-8383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEYSER",
        "first_name": "KATHERINE",
        "middle_name": "LEANNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-05",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT38520",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.