Keith Medalle Layson, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

3308 Logan Dr
Herrin, IL 62948-3759

Phone

(618) 993-4024

Fax

(618) 993-1570

NPI assigned

Sep 16, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• HR Physical Therapy , Sports & Industrial Rehabilitation PC

  • Orthopedic Physical Therapist
  • Herrin, IL
  • NPI 1265474555
  NPD (past)

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1851760201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N 5TH ST APT I",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629594728",
            "telephone_number": "618-993-4024",
            "fax_number": "618-993-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3308 LOGAN DR",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483759",
            "telephone_number": "618-993-4024",
            "fax_number": "618-993-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYSON",
        "first_name": "KEITH",
        "middle_name": "MEDALLE",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Ann Lakatos, PT
• Brianna Renee Lamb, RBT
• Karen Sue Lamb, RPH
• Courtney Taylor Larimer, RBT
• Jenna L Larkin, RD, CDCES
• Brooke Ann Lee, PHYSICAL THERAPIST A
• Kendra Janelle Leftwich, CPM, CLC, CD
• Melanie Lentz
• Lenora Ann Levin
• Alexander James Lietz, MD

• Physical Therapist in Herrin, IL
• Providers in Herrin, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.