Kendall Keeton

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

2120 Brookmeade Dr Ste H
Columbia, TN 38401-4092

Phone

(931) 388-5990

Fax

(931) 388-9829

NPI assigned

May 22, 2018

Last updated

May 22, 2018By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Putnam Physical Therapy Services, LLCGroup PAC ID 9739514373, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Putnam Physical Therapy Services, LLC

  dba Cumberland Physical Therapy

  • Physical Therapist
  • Cookeville, TN
  • NPI 1356984769
  Medicare reassignment Care Compare group NPD
• Larry H. Burks

  dba Putnam Physical Therapy Services

  • Physical Therapist
  • Cookeville, TN
  • NPI 1508931114
  NPD
• Star Physical Therapy LP

  • Physical Therapist
  • Caruthersville, MO
  • NPI 1073375861
  NPD (past)

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1871084251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681478",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370681478",
            "telephone_number": "615-591-6590",
            "fax_number": "615-591-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 BROOKMEADE DR STE H",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014092",
            "telephone_number": "931-388-5990",
            "fax_number": "931-388-9829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEETON",
        "first_name": "KENDALL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0446631",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Kalisz
• Hrishi M. Kanth, M.D.
• Michael Kaslow, MD
• James Brandon Kassinger, D.C.
• KCS Medical, Inc
• Morgan Penrod Keeton, APN
• Kathleen Mary Keith
• Salina Meece Keller, LPC
• Cynthia Nicole Kelley, LMFT
• Katie Lyn Kelley, LMHC

• Physical Therapist in Columbia, TN
• Providers in Columbia, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.