Christopher Blaine Keller, M.S.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

034111 Issued in NY

Practice address

71 Longview Dr
Queensbury, NY 12804-5936

Phone

(518) 832-7875

Fax

(518) 832-7876

NPI assigned

Jun 3, 2006

Last updated

Sep 28, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PRN Physical, Occupational and Speech Therapy Network, PLLCGroup PAC ID 5092730788, 84 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• PRN Physical, Occupational and Speech Therapy Network, PLLC

  • Physical Therapist
  • East Greenbush, NY
  • NPI 1336185263
  Medicare reassignment Care Compare group NPD
• PRN Physical, Occupational and Speech Therapy Network, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Troy, NY
  • NPI 1568059665
  NPD

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1659319440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PEACHTREE CT",
            "address_2": "SUITE 105",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414616",
            "telephone_number": "631-467-3700",
            "fax_number": "631-467-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 LONGVIEW DR",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128045936",
            "telephone_number": "518-832-7875",
            "fax_number": "518-832-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "CHRISTOPHER",
        "middle_name": "BLAINE",
        "credential": "M.S.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "8813",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66371821",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelby Kaufmann, LCSW
• Atilla Kayalar, M.D.
• Molly Lee Keck, MS, OTR/L
• Christine Keeley
• Lynn M Keil, PA-C
• Timothy S Kelling, D.D.S, M.D
• David R Kelly, M.D.
• Gregory A. Kelly, M.D.
• Kathleen Anne Kelly, LMHC
• Robert C Kendall Jr.

• Physical Therapist in Queensbury, NY
• Providers in Queensbury, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; 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.