Active NPI
Kaitlyn Ruth Keyser, PT, DPT, ATC, CSCS
- Physical Medicine & Rehabilitation Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 10805R
- Practice address
- 5750 S 32ND St
Phoenix, AZ 85040-3833 - Phone
- (602) 437-5395
- NPI assigned
- Feb 2, 2021
- 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 Medicine & Rehabilitation Physician | 208100000X | 10805R | LA | Primary |
Addresses
Primary practice location
5750 S 32ND St
Phoenix, AZ 85040-3833
Mailing address
701 W Rio Salado Pkwy Apt 4033
Tempe, AZ 85281-6289
Phone (240) 216-3219
Other practice location 1
5800 Airline Dr
Metairie, LA 70003-3876
Phone (504) 731-1711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5750 S 32ND St
Phoenix, AZ 85040-3833
Phone (602) 437-5055
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10805R | LA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spooner Physical Therapy & Hand Rehab, PC | Current | Accepting new patients | |
| Spooner Physical Therapy & Hand Rehab, PC | Current | Accepting new patients | |
| Spooner Physical Therapy and Hand Rehab, PC | Physical Therapist | Current | Accepting new patients |
Locations
5750 S 32nd St
Phoenix, AZ 85040
Phone (602) 437-5055
14287 N 87th St
Ste 220
Scottsdale, AZ 85260
9097 E Desert Cove Ave
Ste 110
Scottsdale, AZ 85260
Phone (480) 860-4298
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Scottsdale, AZ
- NPI 1184730095
-
dba Spooner Surprise
- Physical Therapy Clinic/Center
- Surprise, AZ
- NPI 1114424868
-
dba Spooner Rockwall
- Physical Therapy Clinic/Center
- Rockwall, TX
- NPI 1184465650
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612224000000",
"number": "1659962520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 W RIO SALADO PKWY APT 4033",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852816289",
"telephone_number": "240-216-3219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5750 S 32ND ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850403833",
"telephone_number": "602-437-5395"
}
],
"practiceLocations": [
{
"address_1": "5800 Airline Dr",
"address_purpose": "LOCATION",
"city": "Metairie",
"state": "LA",
"postal_code": "700033876",
"country_code": "US",
"telephone_number": "504-731-1711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEYSER",
"first_name": "KAITLYN",
"middle_name": "RUTH",
"name_prefix": "Dr.",
"credential": "PT, DPT, ATC, CSCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-02",
"last_updated": "2021-02-02",
"certification_date": "2021-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "LA",
"license": "10805R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.