Individual provider Active NPI

Robert Ernest Keck, MS.PT.

  • Physical Therapist
  • Hendersonville, NC
National Provider Identifier
1639129463
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7827 Issued in NC
Practice address
271 Old Barn Rd Ste C
Hendersonville, NC 28791-8406
Phone
(828) 890-4905
Fax
(828) 890-8123
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Physical Therapy Associates LLC 496 clinicians

Practice addresses (Care Compare)

271 Old Barn Rd
Suite C
Hendersonville, NC 28791-8406
Phone (828) 890-4905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20050224000274 NC Practitioner - Physical Therapist in Private Practice 3870546468 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7827NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Physical Therapy Associates LLC CurrentSince Jan 28, 2022 Accepting new patients
Carolina Physical Therapy Associates LLC Current Accepting new patients
Carolina Physical Therapy Associates LLC CurrentSince Jan 28, 2022 Accepting new patients
Carolina Physical Therapy Associates LLC Past Accepting new patients
Carolina Physical Therapy Associates LLC Past Accepting new patients
Carolina Physical Therapy Associates LLC Physical Therapist Past Accepting new patients
Carolina Physical Therapy Associates LLC Past Accepting new patients
Carolina Physical Therapy Associates LLC Past Accepting new patients
Carolina Physical Therapy Associates LLC Past Accepting new patients

Locations

401 Attain St
Ste 121
Fuquay Varina, NC 27526
Phone (252) 443-0808

271 Old Barn Rd
#C
Hendersonville, NC 28791
Phone (828) 890-4905

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7827 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

271 Old Barn Rd Ste C
Hendersonville, NC 28791-8406

Mailing address

271 Old Barn Rd Ste C
Hendersonville, NC 28791-8406
Phone (828) 890-4905

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
010825807OtherNCHEALTH CARE SAVINGS
078VPOtherNCBLUE CROSS/BLUE SHIELD-NC
2114294OtherNCFIRST HEALTH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 13, 2021.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1639129463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 OLD BARN RD STE C",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287918406",
            "telephone_number": "828-890-4905",
            "fax_number": "828-890-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 OLD BARN RD STE C",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287918406",
            "telephone_number": "828-890-4905",
            "fax_number": "828-890-8123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KECK",
        "first_name": "ROBERT",
        "middle_name": "ERNEST",
        "credential": "MS.PT.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2021-09-13",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "7827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE SAVINGS",
            "identifier": "010825807",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD-NC",
            "identifier": "078VP",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2114294",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.