KEITH A. STOSE (MSPT) – Physical Therapist, NPI 1629260757

KEITH A. STOSE (MSPT) is a healthcare provider. based in Port orange, Florida. specializing in Physical Therapist. They hold the professional credentials MSPT. They hold a License No. PT16854 (FL). The NPI Number for KEITH A. STOSE (MSPT) is 1629260757

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
KEITH A. STOSE (MSPT)
NPI
1629260757
Phone
(386) 255-4596
Address
1165 Dunlawton Ave Ste 102
Enumeration Date
13 August 2007
Last Update Date
30 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3862554596
Graduation Year
1998 (28 years ago)
PAC ID
2860472636
Group Practice PAC ID
9335123504
Professional Enrollment ID
I20040722000454
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:18State licenses:1Digital endpointsOther names

Provider Addresses for KEITH A. STOSE (MSPT)

  • 1165 Dunlawton Ave Ste 102

    Port Orange, FL 321272924

    Phone: (386) 255-4596

    Fax: (386) 258-3561

    Type: Location

  • 1890 Lpga Blvd Ste 240

    Daytona Beach, FL 321177131

    Phone: (386) 255-4596

    Fax: (386) 258-3561

    Type: Location

  • 17 Old Kings Rd N Ste K

    Palm Coast, FL 321378283

    Phone: (386) 255-4596

    Fax: (386) 258-3561

    Type: Location

  • 1175 Dunlawton Ave Ste 1

    Port Orange, FL 321274741

    Phone: (386) 255-4596

    Fax: (386) 258-3561

    Type: Location

  • 1075, Mason Avenue, Daytona Beach, Volusia County, Florida, 32117, United States

    DAYTONA BEACH, FL 321174611

    Phone: (386) 255-4596

    Fax: (386) 258-3561

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32127)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335123504View full group profile
NameSpecialtyState
Orthopedic SurgeryFL
Orthopedic SurgeryFL
Orthopedic SurgeryFL
Physical Therapist In Private PracticeFL
Physician AssistantFL
Physical Therapist In Private PracticeFL
Nurse PractitionerFL
Physician AssistantFL
Nurse PractitionerFL
Orthopedic SurgeryFL

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Frequently asked questions

What is the standard ID for KEITH A. STOSE (MSPT) in the U.S.?
In the U.S., KEITH A. STOSE (MSPT) is identified by NPI 1629260757.
Quick check: is KEITH A. STOSE (MSPT) active?
Public NPPES data shows KEITH A. STOSE (MSPT) with an active NPI status right now.
What services align with KEITH A. STOSE (MSPT)'s listing?
KEITH A. STOSE (MSPT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KEITH A. STOSE (MSPT)?
KEITH A. STOSE (MSPT) is associated with Port Orange, Florida in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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