Active NPI
Devin Keller
- Physical Therapy Assistant
- Santa Rosa, CA
National Provider Identifier
1619856994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- Practice address
- 1801 Cleveland Ave
Santa Rosa, CA 95401-4297 - Phone
- (707) 526-4180
- NPI assigned
- Aug 29, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Primary |
Addresses
Primary practice location
1801 Cleveland Ave
Santa Rosa, CA 95401-4297
Mailing address
1801 Cleveland Ave
Santa Rosa, CA 95401-4297
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756425600000",
"number": "1619856994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 CLEVELAND AVE",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954014297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 CLEVELAND AVE",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954014297",
"telephone_number": "707-526-4180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "DEVIN",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-08-29",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
- Keith F Korver MD a Professional Medical Corporation
- Keith F Korver MD a Professional Medical Corporation
- Deborah Jean Keith, MFT
- Samuel David Kellar
- Paula Marie Kelleher, R.N., N.P., M.S.N.
- Jenness Marie Keller, MPH, RD
- Kim Annette Keller, RPH
- Lyle E. Keller
- Marcea Lee Keller, DNP, RN
- Thomas McNeese Keller, M.D., M.P.H.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.