Individual provider Active NPI

Tracee Keefer

  • Physical Therapist
  • Port Orange, FL
National Provider Identifier
1790214799
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015293 Issued in OH
Practice address
5535 S Williamson Blvd Ste 774
Port Orange, FL 32128-8321
Phone
(888) 265-2680
NPI assigned
Jun 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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 PT60752712 WA
Physical Therapist 225100000X PT015293 OH Primary

Addresses

Primary practice location

5535 S Williamson Blvd Ste 774
Port Orange, FL 32128-8321

Mailing address

7710 Olentangy River Rd
Columbus, OH 43235-1353

Other practice location 1

5150 Bradenton Ave Ste C
Dublin, OH 43017-7591
Phone (614) 362-6571

Other practice location 2

7710 Olentangy River Rd
Columbus, OH 43235-1353
Phone (614) 841-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250916003341 OH Practitioner - Physical Therapist in Private Practice 4183128952 Reassigns benefits to 1 organization

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
Fitness Matters Inc.Group PAC ID 3375799919, 30 clinicians

Practice addresses (Care Compare)

1393 Dublin Rd
Columbus, OH 43215-1084
Phone (614) 487-9715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT015293OHMDPhysical Therapist
PT60752712WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fitness Matters Inc. CurrentSince Sep 26, 2025 Accepting new patients

Locations

1393 Dublin Rd
Columbus, OH 43215
Phone (614) 487-9715

7710 Olentangy River Rd
Columbus, OH 43235
Phone (614) 841-3900

7710 Olentangy River Rd
Ste 100
Columbus, OH 43235
Phone (614) 841-3900

5150 Bradenton Ave
Ste C
Dublin, OH 43017
Phone (614) 362-6571

Organizations & group practices 1

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": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1790214799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 OLENTANGY RIVER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5535 S WILLIAMSON BLVD STE 774",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321288321",
            "telephone_number": "888-265-2680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5150 Bradenton Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430177591",
            "country_code": "US",
            "telephone_number": "614-362-6571",
            "fax_number": "614-362-6572",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7710 Olentangy River Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432351353",
            "country_code": "US",
            "telephone_number": "614-841-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEEFER",
        "first_name": "TRACEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60752712",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT015293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.