Keitaro Abe, P.T.
Individual provider Active NPI Physical Therapist · Corpus Christi, TX
NPI 1659620722 · NPPES record last updated May 8, 2013
Key facts
- NPI
- 1659620722
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1220626 (TX)
- Practice address
- 5026 Deepwood Cir
Corpus Christi, TX 78415-2901 - Phone
- (361) 854-2278
- Fax
- (361) 854-2389
- NPI assigned
- Sep 5, 2012
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1220626 | TX | Yes |
Addresses
Primary practice location
5026 Deepwood Cir
Corpus Christi, TX 78415-2901
Mailing address
5026 Deepwood Cir
Corpus Christi, TX 78415-2901
Phone (361) 854-2278
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 879T68 | Other | TX | BCBS |
| 3139008-01 | Medicaid | TX |
Other providers in Corpus Christi, TX
- Rajaa Abdelrazeq
- Abdominal Specialists of South Texas
- Abdominal Specialists of South Texas, LLP
- Abdominal Specialists of South Texas, LLP
- Ghusoon Abdoulnasr
- Sayuri Abe
- Abeer a. Kaldas, MD, PLLC
- Jessica Lynn Aber
- Catherine C Abernethy
- Ability House, LTD.
All providers in Corpus Christi, TX · Physical Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.