Active NPI
Jean E Keuer, PT
- Physical Therapist
- Rhinelander, WI
National Provider Identifier
1710055702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 919024
- Practice address
- 1880 N Stevens St
Rhinelander, WI 54501-2161 - Phone
- (715) 369-4062
- Fax
- (715) 365-1210
- NPI assigned
- Nov 30, 2006
- 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 | 919024 | WI | Primary |
Addresses
Primary practice location
1880 N Stevens St
Rhinelander, WI 54501-2161
Mailing address
PO Box 676
Rhinelander, WI 54501
Phone (715) 369-4062
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40123800 | Medicaid | WI |
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 |
|---|---|---|---|
| 919024 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710055702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 676",
"city": "RHINELANDER",
"state": "WI",
"postal_code": "54501",
"telephone_number": "715-369-4062",
"fax_number": "715-365-1210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1880 N STEVENS ST",
"city": "RHINELANDER",
"state": "WI",
"postal_code": "545012161",
"telephone_number": "715-369-4062",
"fax_number": "715-365-1210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEUER",
"first_name": "JEAN",
"middle_name": "E",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "919024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40123800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rhinelander, WI
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.