Keithly Rehab PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3690 Issued in OK

Legal business name

KEITHLY REHAB PLLC

Practice address

522 W Broadway Ave
Enid, OK 73701-3842

Phone

(580) 237-0905

Fax

(580) 237-0948

NPI assigned

Nov 6, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Kent Allen Keithly, RPT

Title

Physcial Therapist

Phone

(580) 237-0905

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith James Fuksa, P.T.

  • Physical Therapist
  • Enid, OK
  • NPI 1891939716
  NPD (past)

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

{
    "created_epoch": "1131235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1922089168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 W BROADWAY AVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737013842",
            "telephone_number": "580-237-0905",
            "fax_number": "580-237-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 W BROADWAY AVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737013842",
            "telephone_number": "580-237-0905",
            "fax_number": "580-237-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITHLY REHAB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-06",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "KEITHLY",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PHYSCIAL THERAPIST",
        "authorized_official_telephone_number": "580-237-0905",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "3690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DH0005",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bobby C Kang, D.O.
• Keith Karber
• Dana Nicole Kausek, LCSW
• KD Chiropractic
• Madelyn M Keck, A.R.N.P.
• Alice Keithly
• Kent Allen Keithly, RPT
• Paige Susanna Keithly, PH.D.
• Tiffany A Keitz, S.L.P.
• David Edward Keller, M.D.

• 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 Sep 22, 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.

Verify at the official NPI Registry.