Individual provider Active NPI

Jennifer Lynn Keller-Lott, D.P.T.

  • Physical Therapist
  • Lemont Furnace, PA
National Provider Identifier
1710185343
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015935 Issued in PA
Practice address
200 College Dr
Suite 100
Lemont Furnace, PA 15456
Phone
(724) 439-6061
Fax
(724) 439-6062
NPI assigned
Jul 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT015935 PA Primary

Addresses

Primary practice location

200 College Dr
Suite 100
Lemont Furnace, PA 15456

Mailing address

3116 Ridgeview Dr
Connellsville, PA 15425-9727

Other names 1

  • Jennifer Lynn Keller Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT015935PAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710185343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 RIDGEVIEW DR",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154259727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 COLLEGE DR",
            "address_2": "SUITE 100",
            "city": "LEMONT FURNACE",
            "state": "PA",
            "postal_code": "15456",
            "telephone_number": "724-439-6061",
            "fax_number": "724-439-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER-LOTT",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT015935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "KELLER",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lemont Furnace, PA

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.

Verify at the official NPI Registry.