Active NPI
Lisa J Keskitalo, DPT
- Physical Therapist
- Durham, NC
National Provider Identifier
1942776232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P18295
- Practice address
- 3708 Mayfair St Ste 120
Durham, NC 27707 - Phone
- (984) 974-5300
- NPI assigned
- Oct 15, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P18295 | NC | Primary |
Addresses
Primary practice location
3708 Mayfair St Ste 120
Durham, NC 27707
Mailing address
101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-5300
Other practice location 1
216 E Chatham St
Cary, NC 27511-3499
Phone (919) 251-5775
Other practice location 2
216 E Chatham St
Cary, NC 27511-3499
Phone (919) 251-5775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empower Pelvic Floor Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
| Carolina Dancer Wellness | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Sports Physical Therapist
- Cary, NC
- NPI 1932683299
-
- Physical Therapist
- Chapel Hill, NC
- NPI 1306577119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562630400000",
"number": "1942776232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 MANNING DR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275144220",
"telephone_number": "984-974-5300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3708 MAYFAIR ST STE 120",
"city": "DURHAM",
"state": "NC",
"postal_code": "27707",
"telephone_number": "984-974-5300"
}
],
"practiceLocations": [
{
"address_1": "216 E Chatham St",
"address_purpose": "LOCATION",
"city": "Cary",
"state": "NC",
"postal_code": "275113499",
"country_code": "US",
"telephone_number": "919-251-5775",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "216 E Chatham St",
"address_purpose": "LOCATION",
"city": "Cary",
"state": "NC",
"postal_code": "275113499",
"country_code": "US",
"telephone_number": "919-251-5775",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KESKITALO",
"first_name": "LISA",
"middle_name": "J",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-15",
"last_updated": "2019-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P18295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.