JAKE KELLER (NPI# 1497393284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497393284 |
| Entity Type | Individual |
| Full Name | JAKE KELLER |
| Credential | PT |
| Practice Address |
4901 Lac De Ville Blvd Rochester NY 14618-5647 |
| Practice Telephone | 5853412000 |
| Mailing Telephone | 5853412000 |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
043723-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4901 LAC DE VILLE BLVD |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14618-5647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144262551 | University Medical Imaging PC | Radiology | 4901 Lac De Ville Blvd, Suite 140, Rochester, NY 14618-5647 | 2006-06-11 |
| 1255932620 | Austin John Coppola | Physical Therapist | 4901 Lac De Ville Blvd, Rochester, NY 14618-5647 | 2020-11-03 |
| 1669072864 | Megan Bessel | Physician Assistant | 4901 Lac De Ville Blvd, Rochester, NY 14618-5647 | 2020-10-27 |
| 1598364291 | Katherine E. Lamb | Nurse Practitioner | 4901 Lac De Ville Blvd, Rochester, NY 14618-5647 | 2020-10-22 |
| 1295333961 | Rochelle Helvey | Specialist/Technologist | 4901 Lac De Ville Blvd, Rochester, NY 14618-5647 | 2020-10-14 |
| 1144838194 | Paige Elizabeth Harrington | Nurse Practitioner | 4901 Lac De Ville Blvd, Rochester, NY 14618-5647 | 2020-07-15 |
| 1386281236 | Kristen Rebecca Petrushesky | Physical Therapist | 4901 Lac De Ville Blvd, Rochester, NY 14618-5647 | 2019-12-10 |
| 1952948028 | Caleb Miraglia | Physical Therapist | 4901 Lac De Ville Blvd, Rochester, NY 14618-5647 | 2019-12-07 |
| 1992342216 | Patrick Barber | Physical Therapist | 4901 Lac De Ville Blvd, Rochester, NY 14618-5647 | 2019-12-05 |
| 1669019980 | Tyler Murray | Physical Therapist | 4901 Lac De Ville Blvd, Building D, Rochester, NY 14618-5647 | 2019-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962056499 | Zahavi Dental of Rochester | Dentist | 1815 S. Clinton Ave, 510, Rocheter, NY 14618 | 2019-08-01 |
| 1760047278 | Inner Power Physical Therapy Pllc | Clinic/Center | 2561 Lac Deville Boulevard, Suite 100, Rochester, NY 14618 | 2019-05-09 |
| 1659859858 | Steven Sanfilippo | Counselor | 2000 S. Winton Rd., Building 4, Suite 303, Rochester, NY 14618 | 2018-07-31 |
| 1578064853 | Feet First Inc | Durable Medical Equipment & Medical Supplies | 1900 Clinton Ave S Ste 5, Rochester, NY 14618 | 2018-02-22 |
| 1558805374 | Jennifer Virella | Social Worker | 2000 South Winton Road, Bldg 2, Rochester, NY 14618 | 2016-12-13 |
| 1235589300 | Andrew Cyrus Marcy | Nurse Practitioner | 95 Allens Creek Road Bld 1 Ste 306, Rochester, NY 14618 | 2016-06-20 |
| 1932561073 | Legacy Pediatrics | Pediatrics | 1815 South Clinton Avenue Ste 360, Rochester, NY 14618 | 2016-03-28 |
| 1790143105 | Marie Lynn Bieber | Dietitian, Registered | 919 Winton Rd S Ste 220, Rochester, NY 14618 | 2016-02-01 |
| 1720443096 | Brittany Rose Masetta | Marriage & Family Therapist | 2000 S Winton Rd, Bldg 4, Suite #200, Rochester, NY 14618 | 2015-12-30 |
| 1437543097 | Kathleen Skye Kemp | Internal Medicine | 2400 S Clinton Ave Ste G2, Rochester, NY 14618 | 2015-03-22 |
| Find all providers in zip 14618 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053959304 | Jackson Sanna | Physical Therapist | 4901 Lac De Ville Blvd Unit D, Rochester, NY 14618-5647 | 2019-12-17 |
| 1730509324 | Integrated Physical Therapy | Physical Therapist | 884 E Ridge Rd, Rochester, NY 14621-1718 | 2014-04-22 |
| 1649447475 | Donna Jean Latoy | Physical Therapist | 2233 South Clinton Ave, Rochester, NY 14618 | 2008-05-12 |
| 1801961693 | Nanette P Thompson | Physical Therapist | 200 Linden Oaks Ste 300, Rochester, NY 14625-2841 | 2006-11-21 |
| 1548861511 | Alexandra Stiewe | Physical Therapist | 1381 E Ridge Rd, Rochester, NY 14621-2016 | 2020-11-05 |
| 1255932620 | Austin John Coppola | Physical Therapist | 4901 Lac De Ville Blvd, Rochester, NY 14618-5647 | 2020-11-03 |
| 1346871399 | Taylor Ann Baranowsky | Physical Therapist | 4901 Lac De Ville Blvd Ste 110, Rochester, NY 14618-5648 | 2020-01-29 |
| 1144869439 | Natalie Snyder | Physical Therapist | 4901 Lac De Ville Blvd Ste 110, Rochester, NY 14618-5648 | 2020-01-03 |
| 1427696079 | Anna Lamb | Physical Therapist | 10 S Pointe Lndg, Rochester, NY 14606-3481 | 2019-12-13 |
| 1679111587 | Kyle Healy | Physical Therapist | 4901 Lac De Ville Blvd Ste 110, Rochester, NY 14618-5648 | 2019-12-11 |
| Find all providers in ROCHESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.