Active NPI
Robert Benjamin Keeton, DPT
- Physical Therapist
- Herndon, VA
National Provider Identifier
1982734398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305205333
- Practice address
- 13039 Worldgate Dr
Herndon, VA 20170-4374 - Phone
- (703) 689-3164
- Fax
- (703) 689-3167
- NPI assigned
- Mar 6, 2007
- Last updated
- May 7, 2013
- Sex
- Male
- 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 | 2305205333 | VA | Primary |
Addresses
Primary practice location
13039 Worldgate Dr
Herndon, VA 20170-4374
Mailing address
PO Box 1769
Middleburg, VA 20118-1769
Phone (540) 687-8181
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305205333 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367884800000",
"number": "1982734398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1769",
"city": "MIDDLEBURG",
"state": "VA",
"postal_code": "201181769",
"telephone_number": "540-687-8181",
"fax_number": "540-687-8256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13039 WORLDGATE DR",
"city": "HERNDON",
"state": "VA",
"postal_code": "201704374",
"telephone_number": "703-689-3164",
"fax_number": "703-689-3167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEETON",
"first_name": "ROBERT",
"middle_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2013-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305205333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Herndon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.