Active NPI
Jessica L Keith, DPT
- Physical Therapist
- Bartlesville, OK
National Provider Identifier
1659747525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5001
- Practice address
- 1223 Swan Dr
Bartlesville, OK 74006-5037 - Phone
- (918) 336-8500
- Fax
- (918) 333-0734
- NPI assigned
- Aug 14, 2015
- Last updated
- Aug 14, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5001 | OK | Primary |
Addresses
Primary practice location
1223 Swan Dr
Bartlesville, OK 74006-5037
Mailing address
13636 N 135TH East Ave
Collinsville, OK 74021-3663
Phone (918) 336-8500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1223 Swan Dr
Bartlesville, OK 74006-5037
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439510400000",
"number": "1659747525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13636 N 135TH EAST AVE",
"city": "COLLINSVILLE",
"state": "OK",
"postal_code": "740213663",
"telephone_number": "918-336-8500",
"fax_number": "918-333-0734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1223 SWAN DR",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "740065037",
"telephone_number": "918-336-8500",
"fax_number": "918-333-0734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEITH",
"first_name": "JESSICA",
"middle_name": "L",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-14",
"last_updated": "2015-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "5001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bartlesville, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.