Individual provider Active NPI

Kurtis Eugene Keller, DPT

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1811993637
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2210 Issued in NE
Practice address
2403 S 133Rd PLZ
Omaha, NE 68144-5905
Phone
(402) 330-8433
NPI assigned
Jun 27, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
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 2210 NE Primary

Addresses

Primary practice location

2403 S 133Rd PLZ
Omaha, NE 68144-5905

Mailing address

6438 S 164TH Ave
Omaha, NE 68135-6340

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051026000983 NE Practitioner - Physical Therapist in Private Practice 7113952912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rethwisch Family Chiropractic, P.C.Group PAC ID 5799730370, 3 clinicians

Practice addresses (Care Compare)

18010 R PLZ
Suite 104
Omaha, NE 68135-1923
Phone (402) 408-6561

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2210NEMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rethwisch Family Chiropractic, P.C. CurrentSince Nov 2, 2021 Accepting new patients

Locations

18010 R Plz
Ste 104
Omaha, NE 68135
Phone (402) 408-6561

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, 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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811993637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6438 S 164TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681356340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 S 133RD PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681445905",
            "telephone_number": "402-330-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "KURTIS",
        "middle_name": "EUGENE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

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.
  • 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.