KURTIS EUGENE KELLER (DPT) – Physical Therapist, NPI 1811993637

KURTIS EUGENE KELLER (DPT) is a healthcare provider. based in Omaha, Nebraska. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 2210 (NE). The NPI Number for KURTIS EUGENE KELLER (DPT) is 1811993637

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
KURTIS EUGENE KELLER (DPT)
NPI
1811993637
Phone
Not provided
Address
6438 S 164TH AVE
Enumeration Date
27 June 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4024086561
Graduation Year
2003 (23 years ago)
PAC ID
7113952912
Group Practice PAC ID
5799730370
Professional Enrollment ID
I20051026000983
Address ID
NE681351923OM18010PLZX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

841 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NE

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Provider Addresses for KURTIS EUGENE KELLER (DPT)

  • South 164th Avenue, Millard, Omaha, Douglas County, Nebraska, 68130, United States

    OMAHA, NE 681356340

    Phone:

    Type: Mailing

  • 2403, South 133rd Plaza, Millard, Omaha, Douglas County, Nebraska, 68144, United States

    OMAHA, NE 681445905

    Phone: (402) 330-8433

    Type: Location

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: 2005-10-26

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
I20051026000983IPhysical Therapist In Private PracticeNETBD

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 68135)

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Provider's Procedures

KURTIS EUGENE KELLER (DPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYNE97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes26025

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: 5799730370View full group profile
NameSpecialtyState
C H I R O P R A C T I CNE
C H I R O P R A C T I CNE

Reviews

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Frequently asked questions

What identifier follows KURTIS EUGENE KELLER (DPT) across health systems?
The NPI 1811993637 uniquely identifies KURTIS EUGENE KELLER (DPT) in U.S. healthcare data.
Is KURTIS EUGENE KELLER (DPT) currently accepting referrals based on NPI status?
Registry metadata lists KURTIS EUGENE KELLER (DPT) as active.
What services align with KURTIS EUGENE KELLER (DPT)'s listing?
KURTIS EUGENE KELLER (DPT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to KURTIS EUGENE KELLER (DPT)?
The directory associates KURTIS EUGENE KELLER (DPT) with Omaha, Nebraska. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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