Active NPI
Jill Michelle Keel, PT
- Physical Therapist
- Edmond, OK
National Provider Identifier
1659874022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1814
- Practice address
- 13501 N Bryant Ave
Edmond, OK 73013-6242 - Phone
- (405) 246-0222
- NPI assigned
- Mar 13, 2018
- 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 | 1814 | OK | Primary |
Addresses
Primary practice location
13501 N Bryant Ave
Edmond, OK 73013-6242
Mailing address
2808 Berrywood Cir
Edmond, OK 73034-6831
Phone (405) 359-9143
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1814 | OK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520899200000",
"number": "1659874022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2808 BERRYWOOD CIR",
"city": "EDMOND",
"state": "OK",
"postal_code": "730346831",
"telephone_number": "405-359-9143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13501 N BRYANT AVE",
"city": "EDMOND",
"state": "OK",
"postal_code": "730136242",
"telephone_number": "405-246-0222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEEL",
"first_name": "JILL",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-13",
"last_updated": "2018-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "1814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.