John C Keller, MS, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6950 Issued in NC

Practice address

4601 Lake Boone TRL Ste 2E
Raleigh, NC 27607-7518

Phone

(919) 781-3978

NPI assigned

Feb 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Capital City Health Care Providers, Inc.

  • Physical Therapist
  • Raleigh, NC
  • NPI 1164565677
  NPD (past) Authorized official
• Keller Management, LLC

  • Physical Therapy Clinic/Center
  • Raleigh, NC
  • NPI 1629370762

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639212145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 LAKE BOONE TRL STE 2E",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077518",
            "telephone_number": "919-781-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 LAKE BOONE TRL STE 2E",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077518",
            "telephone_number": "919-781-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "JOHN",
        "middle_name": "C",
        "credential": "MS, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "6950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kej Healthcare Inc
• Sonia Kelkar
• Brian J Kelleher, D.D.S.
• Nicole Elizabeth Kelleher
• Keller Management, LLC
• Julie Marie Keller, PA-C
• Amelia Kelley, L.P.C
• Donique Kelley
• John Simpson Kelley, M.D.
• Patrick J Kelley, L.AC.

• Physical Therapist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.