Individual provider Active NPI

Keith A Sechrest

  • Physical Therapist
  • North Canton, OH
National Provider Identifier
1922743731
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT013552 Issued in OH
Practice address
7171 Keck Park Cir NW
North Canton, OH 44720-6301
Phone
(330) 498-5222
NPI assigned
May 5, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT013552 OH Primary

Addresses

Primary practice location

7171 Keck Park Cir NW
North Canton, OH 44720-6301

Mailing address

7171 Keck Park Cir NW
North Canton, OH 44720-6301
Phone (330) 498-5222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240605000377 WV Practitioner - Physical Therapist in Private Practice 5698217727 Reassigns benefits to 1 organization
I20240626002756 OH Practitioner - Physical Therapist in Private Practice 5698217727 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT013552OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wetzel County Hospital, Inc. CurrentSince Jun 3, 2024 Accepting new patients
Wetzel County Hospital, Inc. CurrentSince Jun 3, 2024 Accepting new patients
Wetzel County Hospital Association Past Accepting new patients

Locations

37984 Airport Rd
Woodsfield, OH 43793
Phone (304) 455-6291

45325 State Route 78
Woodsfield, OH 43793
Phone (740) 472-1879

3 E Benjamin Dr
North Martinsvlle, WV 26155
Phone (304) 455-8000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1922743731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7171 KECK PARK CIR NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447206301",
            "telephone_number": "330-498-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 KECK PARK CIR NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447206301",
            "telephone_number": "330-498-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECHREST",
        "first_name": "KEITH",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT013552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.