Samantha Eshleman Keller

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10884 Issued in LA

Practice address

2620 Metairie Lawn Dr
Metairie, LA 70002-6107

Phone

(504) 841-0150

Fax

(504) 841-0180

NPI assigned

May 14, 2021

Last updated

Jul 14, 2022By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1598339608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 METAIRIE LAWN DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700026107",
            "telephone_number": "504-841-0150",
            "fax_number": "504-841-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 METAIRIE LAWN DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700026107",
            "telephone_number": "504-841-0150",
            "fax_number": "504-841-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "SAMANTHA",
        "middle_name": "ESHLEMAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "10884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samantha@baudrytherapy.com",
            "affiliation": "N",
            "endpointDescription": "Baudry secure email system",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secure email",
            "address_1": "2620 Metairie Lawn Dr",
            "city": "Metairie",
            "state": "LA",
            "country_code": "US",
            "postal_code": "700026107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deja Theresa Keller
• Erinisha Keller
• Karrington Keller
• Melissa M Keller, LCSW
• Remi E Keller
• Sharnika S Keller
• Glenn Patrick Kelley, M.D.
• Yari Kelley, PLPC
• Katrina Patchus Kellum, D.N.P., APRN, FNP-C
• Jasmine Jaquel Kellup

• Physical Therapist in Metairie, LA
• Providers in Metairie, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.