GERALD C KELLER (PT) – Physical Therapist, NPI 1902989692

GERALD C KELLER (PT) is a healthcare provider. based in Pompano beach, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 2672 (FL). The NPI Number for GERALD C KELLER (PT) is 1902989692

Main info

Male
Sole Proprietor
47 Years Of Experience
Accepts Medicare Assignment
Name
GERALD C KELLER (PT)
NPI
1902989692
Phone
(954) 263-8031
Address
240 SE 3RD CT
Enumeration Date
24 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8886272325
Graduation Year
1979 (47 years ago)
PAC ID
7214077809
Group Practice PAC ID
9032566799
Professional Enrollment ID
I20130614000174
Address ID
FL334775142JU900XXRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

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Provider Addresses for GERALD C KELLER (PT)

  • 240, Southeast 3rd Court, Garden Isles, Pompano Beach, Broward County, Florida, 33060, United States

    POMPANO BEACH, FL 330607127

    Phone: (954) 263-8031

    Fax: (954) 975-9754

    Mailing address matches the actual address.

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-06-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130614000174IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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 33060)

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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: 9032566799View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeWA
Occupational Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

How do I look up GERALD C KELLER (PT) by NPI?
Use NPI 1902989692 when you need to reference GERALD C KELLER (PT) in forms, claims, or directories.
Is GERALD C KELLER (PT) currently active in the NPI registry?
CMS-published data lists GERALD C KELLER (PT) as an active registrant.
What kind of provider is GERALD C KELLER (PT)?
The page reflects Physical Therapist for GERALD C KELLER (PT). Clinical services aligned with this taxonomy classification.
Does GERALD C KELLER (PT) practice in Florida?
You will see Pompano Beach, Florida on file for GERALD C KELLER (PT) alongside any extra practice locations.
What if Pompano Beach, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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