NPIMap

Organization Active NPI

Keller Management, LLC

  • Physical Therapy Clinic/Center
  • Raleigh, NC
National Provider Identifier
1629370762
Registry record updated Nov 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
KELLER MANAGEMENT, LLC
Practice address
4601 Lake Boone TRL
Suite 2E
Raleigh, NC 27607-7503
Phone
(919) 781-3978
Fax
(919) 781-4315
NPI assigned
Nov 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2010

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

Authorized official

Name
Courtney Novey Keller, MS, PT, PPINPI 1093015851
Title
President
Phone
(919) 781-3978

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NC Primary

Addresses

Primary practice location

4601 Lake Boone TRL
Suite 2E
Raleigh, NC 27607-7503

Mailing address

4601 Lake Boone TRL
Suite 2E
Raleigh, NC 27607-7503
Phone (919) 781-3978

Other names 1

  • Keller Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

4601 Lake Boone Trl
Ste 2E
Raleigh, NC 27607
Phone (919) 781-3978

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1629370762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 LAKE BOONE TRL",
            "address_2": "SUITE 2E",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077503",
            "telephone_number": "919-781-3978",
            "fax_number": "919-781-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 LAKE BOONE TRL",
            "address_2": "SUITE 2E",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077503",
            "telephone_number": "919-781-3978",
            "fax_number": "919-781-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLER MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-22",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "NOVEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-781-3978",
        "authorized_official_credential": "MS, PT, PPI"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keller Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.