Individual provider Active NPI

Katelyn Keith, DPT

  • Physical Therapist
  • Dallas, TX
National Provider Identifier
1730567975
Registry record updated Oct 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1755 Wittington PL
Suite #175
Dallas, TX 75234-1927
Phone
(866) 221-5405
Fax
(866) 534-5697
NPI assigned
May 7, 2015
Last updated
Oct 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2017

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 NU Primary

Addresses

Primary practice location

1755 Wittington PL
Suite #175
Dallas, TX 75234-1927

Mailing address

2442 Tongass Ave
Ketchikan, AK 99901-5928
Phone (907) 225-7808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, AK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150624002059 KS Practitioner - Physical Therapist in Private Practice 7719298264 Reassigns benefits to 2 organizations
I20171009002568 AK Practitioner - Physical Therapist in Private Practice 7719298264 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alaska Aquatic Therapy, Inc.Group PAC ID 6800864604, 13 clinicians

Practice addresses (Care Compare)

35932 Kenai Spur Hwy
Soldotna, AK 99669-7103
Phone (907) 398-0411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rebound Physical Therapy Inc. Physical Therapist CurrentSince May 28, 2015 Accepting new patients
Wise Physical Therapy and Rehabilitation Inc. Physical Therapist CurrentSince Aug 1, 2020 Accepting new patients
Out Patient at Home Physical Therapy LLC Physical Therapist CurrentSince Feb 1, 2022 Accepting new patients
Abilene Physical Therapy and Sports Rehab PA Physical Therapist CurrentSince Nov 11, 2019 Accepting new patients
Alaska Aquatic Therapy Inc. Physical Therapist CurrentSince Sep 12, 2023 Accepting new patients
Rebound Physical Therapy at Wood Valley Physical Therapist PastSince May 28, 2015 Accepting new patients

Locations

1200 Airport Heights Dr
Ste 170
Anchorage, AK 99508
Phone (907) 562-2118

103 NW 15th St
Abilene, KS 67410
Phone (785) 227-3371

1030 Marshall Ave
#B
Chapman, KS 67431
Phone (785) 922-4016

5220 SW 17th St
Ste 130
Topeka, KS 66604
Phone (785) 271-5533

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507161600000",
    "number": "1730567975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2442 TONGASS AVE",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015928",
            "telephone_number": "907-225-7808",
            "fax_number": "907-247-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 WITTINGTON PL",
            "address_2": "SUITE #175",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752341927",
            "telephone_number": "866-221-5405",
            "fax_number": "866-534-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH",
        "first_name": "KATELYN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-07",
        "last_updated": "2017-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; 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.