Keith James Fuksa, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3116 Issued in OK

Practice address

723 W Randolph Ave
Suite 1
Enid, OK 73701-3826

Phone

(580) 234-1115

Fax

(580) 234-1150

NPI assigned

Apr 22, 2009

Sex

Male

Sole proprietor

Yes

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

Enrolled in OK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Therapy Innovations, Inc

  • Occupational Therapist
  • Enid, OK
  • NPI 1376882738

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Dominion Therapy & Education

  • Physical Therapist
  • Enid, OK
  • NPI 1144456617
  NPD (past) Authorized official
• Keithly Rehab PLLC

  • Physical Therapist
  • Enid, OK
  • NPI 1922089168
  NPD (past)

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240358400000",
    "number": "1891939716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 W RANDOLPH AVE",
            "address_2": "SUITE 1",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737013826",
            "telephone_number": "580-234-1115",
            "fax_number": "580-234-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 W RANDOLPH AVE",
            "address_2": "SUITE 1",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737013826",
            "telephone_number": "580-234-1115",
            "fax_number": "580-234-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUKSA",
        "first_name": "KEITH",
        "middle_name": "JAMES",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "3116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fresenius Medical Care Enid, LLC
• Bret N Frey, MD
• Steve Friesen, RPH
• Desiree Nicole Fritz
• Shelly D Fritz
• Justin Lee Funk, O.D.
• Rosemarie Furia, DDS
• Rhiannon Gabauer
• Bryce Gannon, B.S.
• Aaron Garcia, DO

• Physical Therapist in Enid, OK
• Providers in Enid, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.