Keith H Stroud, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1056505 Issued in TX

Practice address

2544 Mangum St
Commerce, TX 75428-3515

Phone

(903) 886-7669

Fax

(903) 886-7679

NPI assigned

Aug 4, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Endeavor Rehab Center IncGroup PAC ID 6800989369, 123 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Endeavor Rehab Center Inc

  • Physical Therapist
  • Austin, TX
  • NPI 1760506232
  Medicare reassignment Care Compare group NPD
• Endeavor Rehab Center Inc

  dba Athens Physical Therapy

  • Physical Therapist
  • Athens, TX
  • NPI 1548045156
  NPD
• Hulsey Therapy Services, PC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Commerce, TX
  • NPI 1659379667

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700894458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 HOUSTON ST",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754822316",
            "telephone_number": "903-885-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2544 MANGUM ST",
            "city": "COMMERCE",
            "state": "TX",
            "postal_code": "754283515",
            "telephone_number": "903-886-7669",
            "fax_number": "903-886-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROUD",
        "first_name": "KEITH",
        "middle_name": "H",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1056505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER",
            "identifier": "84630T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie A Slough, FNP-C
• Smile Corner PLLC
• Smile Corner-Commerce PLLC
• Chasitiy Smith
• Kayla Monique Smith, LCSW
• Suzanne E Monday MD (Greenville Healthcare Associates)
• Christy Sweeney
• Synergistic Health Care
• Heather Taylor, DPT
• Texas a&M University Commerce

• Physical Therapist in Commerce, TX
• Providers in Commerce, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.