Mark Keller, MSPT
Physical Therapist in Pennington, New Jersey
1922769173- Practice location
- 122 Brandon RD, Pennington, NJ 08534-1931
- Phone
- 908-642-5083
- Fax
- —
- Last updated
- February 14, 2022
Mark Keller is a Physical Therapist based in Pennington, NJ. Mark Keller practices in Pennington, NJ and has the professional credentials of MSPT. The NPI Number for Mark Keller is 1922769173 and holds a License No. 40QA01104200 (NJ). The current practice location address for Mark Keller is 122 Brandon RD, Pennington, NJ 08534-1931 and can be reached out via phone at 908-642-5083.
Provider Profile Details
- NPI Number
- 1922769173
- Provider Name
- Mark Keller
- Credential
- MSPT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 122 Brandon RD, Pennington, NJ 08534-1931
- Phone Number
- 908-642-5083
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 9, 2022
- Last Update Date
- February 14, 2022
- Certification Date
- February 14, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 122 Brandon RD
Pennington, NJ 08534-1931 - City
- Pennington
- State
- New Jersey
- Zip
- 08534-1931
- Phone Number
- 908-642-5083
Provider Business Mailing Address Details
- Address
- 800 Bunn Dr
Ste 102
Princeton, NJ 08540-1968 - City
- Princeton
- State
- NJ
- Zip
- 08540-1968
- Phone Number
- 908-642-5083
License Information
- License Number
- 40QA01104200
- License State
- NJ
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mark Keller, MSPT?
The NPI number of Mark Keller, MSPT is 1922769173. It was assigned on January 9, 2022 and is currently active in the NPPES registry.
What is the specialty of Mark Keller, MSPT?
Mark Keller, MSPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01104200.
Where does Mark Keller, MSPT practice?
The practice location is 122 Brandon RD, Pennington, NJ 08534-1931. The office can be reached at 908-642-5083 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922769173 directly on the NPPES registry website.