Active NPI
Keith R. Strother, PT
- Orthopedic Physical Therapist
- Huntington Beach, CA
National Provider Identifier
1972525335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 13554
- Practice address
- 19891 Beach Blvd
Suite 105
Huntington Beach, CA 92648-3209 - Phone
- (714) 536-9700
- Fax
- (714) 536-9701
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 13554 | CA | Primary |
Addresses
Primary practice location
19891 Beach Blvd
Suite 105
Huntington Beach, CA 92648-3209
Mailing address
19891 Beach Blvd
Suite 105
Huntington Beach, CA 92648-3209
Phone (714) 536-9700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT13554 | Other | CA | LEGACY PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100521000308 | CA | Practitioner - Physical Therapist in Private Practice | 4385552819 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home Physical Therapy Providers & Wellness Inc. | Orthopedic | Current | Accepting new patients |
| Eagle Physical Therapy of Huntington Beach | Current | Accepting new patients | |
| Homeworks Physical Therapy Inc | Orthopedic | Current | Accepting new patients |
Locations
403 W 5th Ave
Ste C
Escondido, CA 92025
Phone (760) 536-2377
1611 S Melrose Dr
#311
Vista, CA 92081
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.
-
- Physical Therapist
- Escondido, CA
- NPI 1073999264
CA, Orthopedic
-
- Physical Therapy Clinic/Center
- Costa Mesa, CA
- NPI 1578722823
CA, Orthopedic
-
- Physical Therapy Clinic/Center
- Huntington Beach, CA
- NPI 1275551988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194220800000",
"number": "1972525335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19891 BEACH BLVD",
"address_2": "SUITE 105",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926483209",
"telephone_number": "714-536-9700",
"fax_number": "714-536-9701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19891 BEACH BLVD",
"address_2": "SUITE 105",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926483209",
"telephone_number": "714-536-9700",
"fax_number": "714-536-9701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROTHER",
"first_name": "KEITH",
"middle_name": "R.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2007-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "13554",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LEGACY PIN",
"identifier": "PT13554",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.