Individual provider Active NPI

Dena Lynn Keppen, M.S, P.T.

  • Physical Therapist
  • Klamath Falls, OR
National Provider Identifier
1669695979
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20666 Issued in CA
Practice address
13351 Crystal Springs Rd
Klamath Falls, OR 97603-9636
Phone
(541) 892-2539
NPI assigned
Apr 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 20666 CA Primary
Physical Therapist 225100000X 2063 OR

Addresses

Primary practice location

13351 Crystal Springs Rd
Klamath Falls, OR 97603-9636

Mailing address

13351 Crystal Springs Rd
Klamath Falls, OR 97603-9636
Phone (541) 892-2539

Other identifiers 1

IdentifierTypeStateIssuer
182019MedicaidOR

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2063ORMDNaturopath
20666CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Health & Wellness, LLC Physical Therapist Past Accepting new patients
Integrated Physical Therapy, Inc Physical Therapist PastSince Dec 1, 2016 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1669695979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13351 CRYSTAL SPRINGS RD",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976039636",
            "telephone_number": "541-892-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13351 CRYSTAL SPRINGS RD",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976039636",
            "telephone_number": "541-892-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEPPEN",
        "first_name": "DENA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "M.S, P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "20666",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "2063",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182019",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.