James Pierce Kegley III, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0126003567 Issued in VA

Practice address

3700 James River Rd
Midlothian, VA 23113-3717

Phone

(804) 378-2420

NPI assigned

Feb 25, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723334400000",
    "number": "1619434776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 ABBERLY CIR APT 2118",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231143270",
            "telephone_number": "804-572-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 JAMES RIVER RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231133717",
            "telephone_number": "804-378-2420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232849058",
            "country_code": "US",
            "telephone_number": "804-828-0713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEGLEY",
        "first_name": "JAMES",
        "middle_name": "PIERCE",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-25",
        "last_updated": "2024-08-11",
        "certification_date": "2024-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SC",
            "license": "AT03073",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126003567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles W Keblusek, M.D.,F.A.C.O.G.,P.C.
• Ariyana Keels, RN
• Mariana Keener, DO
• James Austin Keesee, PT, DPT
• Keeton, Gokli, Lubbe, Bridges-Poquis & Raddin,
• Scott B Kegley, LPC
• Derek Kegyeda
• Hamilton Keith, PT
• Kevin Erick Kelleher, D.M.D
• Jennifer Pillard Keller, BCBA

• Athletic Trainer in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2024; 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.