Keith Franklin Bumgardner Jr., DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.024270 Issued in IL

Practice address

849 S Route 51 Ste D
Forsyth, IL 62535-8808

Phone

(217) 872-2244

NPI assigned

Jul 26, 2017

Last updated

Feb 27, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest PCW PT LLCGroup PAC ID 3779807482, 3 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Midwest PCW PT, LLC

  dba ApexNetwork Physical Therapy

  • Physical Therapist
  • Forsyth, IL
  • NPI 1275931156
  Medicare reassignment Care Compare group NPD
• Dolly Briscoe Enterprises, Inc.

  dba Physician's Choice Wellness

  • Health Educator
  • Mt Zion, IL
  • NPI 1447555685
  NPD
• Kentucky Orthopedic Rehabilitation LLC

  dba KORT - Richmond Physical Therapy

  • Physical Therapy Clinic/Center
  • Richmond, KY
  • NPI 1851391882
  NPD (past)
• Kentucky Orthopedic Rehabilitation, LLC

  dba KORT Physical Therapy

  • Physical Therapy Clinic/Center
  • Richmond, KY
  • NPI 1295477248
  NPD (past)

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1598289142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 S ROUTE 51 STE D",
            "city": "FORSYTH",
            "state": "IL",
            "postal_code": "625358808",
            "telephone_number": "217-872-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 S ROUTE 51 STE D",
            "city": "FORSYTH",
            "state": "IL",
            "postal_code": "625358808",
            "telephone_number": "217-872-2244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5006 Atwood Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "KY",
            "postal_code": "404758179",
            "country_code": "US",
            "telephone_number": "859-623-2057",
            "fax_number": "859-623-2058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUMGARDNER",
        "first_name": "KEITH",
        "middle_name": "FRANKLIN",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-26",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007133",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.024270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Murtuza H Bahrainwala, MD
• Blunck2604Llc (Comfort Keepers)
• Barbara M Bolin, LCPC, LMFT
• Larry D Bolyard
• Lisa Ann Brooks, OTR/L
• Catherine E. Cavanaugh, D.D.S,, M.S.
• Ha Young Cho, MD
• Leah Marie Cummings, APRN, FNP-C
• Karen S Cycotte, O.D.
• Nicole Dalton, P.A.

• Physical Therapist in Forsyth, IL
• Providers in Forsyth, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.