Organization Active NPI

Keith Roper and Associates Inc.

Doing business as Intermountain Physical Therapy

  • Physical Therapist
  • Burney, CA
National Provider Identifier
1619000759
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT15505 Issued in CA
Legal business name
KEITH ROPER AND ASSOCIATES INC.
Doing business as
Intermountain Physical Therapy
Practice address
37116 Main St
Burney, CA 96013-4127
Phone
(530) 335-3206
Fax
(530) 335-5383
NPI assigned
Mar 14, 2007
Last updated
Jun 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

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

Authorized official

Name
Mr. Keith Leroy Roper, PTNPI 1568592806
Title
Owner Physical Therapist
Phone
(530) 335-3206

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT15505 CA Primary
Physical Therapist 225100000X PT33915 CA

Addresses

Primary practice location

37116 Main St
Burney, CA 96013-4127

Mailing address

37116 Main St
Burney, CA 96013-4127
Phone (530) 335-3206

Other identifiers 1

IdentifierTypeStateIssuer
PT0155050MedicaidCA

Other names 1

  • Intermountain Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

37116 State Highway 299 E
Burney, CA 96013
Phone (530) 335-3206

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1619000759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37116 MAIN ST",
            "city": "BURNEY",
            "state": "CA",
            "postal_code": "960134127",
            "telephone_number": "530-335-3206",
            "fax_number": "530-335-5383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37116 MAIN ST",
            "city": "BURNEY",
            "state": "CA",
            "postal_code": "960134127",
            "telephone_number": "530-335-3206",
            "fax_number": "530-335-5383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH ROPER AND ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2014-06-27",
        "status": "A",
        "authorized_official_last_name": "ROPER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "OWNER PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "530-335-3206",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT15505",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT33915",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT0155050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intermountain Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burney, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; 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.