Gerald C Keller, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2672 Issued in FL

Practice address

240 SE 3Rd CT
Pompano Beach, FL 33060-7127

Phone

(954) 263-8031

Fax

(954) 975-9754

NPI assigned

Oct 24, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Go-PT IncGroup PAC ID 9032566799, 25 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 and National Provider Directory roles.

• Go-PT Inc.

  • Physical Therapist
  • Jupiter, FL
  • NPI 1295518553
  Medicare reassignment Care Compare group NPD
• Palm Beach Therapy & Fitness Providers, Inc.

  • Physical Therapy Assistant
  • Lake Worth, FL
  • NPI 1205364692
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902989692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 SE 3RD CT",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330607127",
            "telephone_number": "954-263-8031",
            "fax_number": "954-975-9754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 SE 3RD CT",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330607127",
            "telephone_number": "954-263-8031",
            "fax_number": "954-975-9754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "GERALD",
        "middle_name": "C",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "2672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0002672",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Keefe
• Shauna Keefe
• Summer Lyn Keenan, M.S., LPC, NCC
• Keisha Goodison DO, PA
• Nicole Keith, LMFT
• Katie Elizabeth Keller
• Ann Kelly
• Daniel Kelly, DDS
• Raquel Elaine Kelly, HS
• Sylvia Nichole Kemp, M.ED

• Physical Therapist in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Physical Therapist in Florida

• 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.