Active NPI
Paul Andrew Keller, P.T.
- Physical Therapist
- Eugene, OR
National Provider Identifier
1841450178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3920
- Practice address
- 2360 Chambers St
Eugene, OR 97405-1861 - Phone
- (541) 687-1310
- NPI assigned
- Jun 10, 2008
- Sex
- Male
- 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 | 3920 | OR | Primary |
Addresses
Primary practice location
2360 Chambers St
Eugene, OR 97405-1861
Mailing address
2095 Harvard Dr
Eugene, OR 97405-1079
Phone (541) 393-0090
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3920 | OR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213056000000",
"number": "1841450178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2095 HARVARD DR",
"city": "EUGENE",
"state": "OR",
"postal_code": "974051079",
"telephone_number": "541-393-0090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2360 CHAMBERS ST",
"city": "EUGENE",
"state": "OR",
"postal_code": "974051861",
"telephone_number": "541-687-1310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "PAUL",
"middle_name": "ANDREW",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-10",
"last_updated": "2008-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "3920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.