COREY MICHAEL KEISTER (DPT) – Physical Therapist, NPI 1780084475

COREY MICHAEL KEISTER (DPT) is a healthcare provider. based in Grove city, Ohio. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 2305208962 (VA). The NPI Number for COREY MICHAEL KEISTER (DPT) is 1780084475

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
COREY MICHAEL KEISTER (DPT)
NPI
1780084475
Phone
(614) 820-4992
Address
4090 GANTZ RD
Enumeration Date
29 August 2014
Last Update Date
26 April 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8037260309
Graduation Year
2014 (12 years ago)
PAC ID
8729300017
Group Practice PAC ID
2860789245
Professional Enrollment ID
I20220912003036
Address ID
SC292044061CO3250XDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:11State licenses:2Digital endpointsOther names

2,243 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OH

Provider Addresses for COREY MICHAEL KEISTER (DPT)

  • 4090 GANTZ RD

    GROVE CITY, OH 431234816

    Phone: (614) 820-4992

    Fax: (614) 820-4998

    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: 2022-09-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20180608002233IPhysical Therapist In Private PracticeOHTBD
I20220912002918IPhysical Therapist In Private PracticeVATBD
I20220912003036IPhysical Therapist In Private PracticeSCTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes1,63559$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,23761$0
97530Therapy procedure using functional activities46543$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes13421$0
97750Test or measurement for functional capacity, each 15 minutes11548$0
View full utilization report →

Insurance plans in this area (ZIP 43123)

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Provider's Procedures

COREY MICHAEL KEISTER (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 THERAPYVA97001Physical therapy evaluation7777
PHYSICAL THERAPYVA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes11841

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: 2860789245View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeSC
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeUT

Reviews

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Frequently asked questions

How is COREY MICHAEL KEISTER (DPT) identified in CMS data?
CMS-hosted NPPES data lists COREY MICHAEL KEISTER (DPT) with NPI 1780084475.
Is COREY MICHAEL KEISTER (DPT) listed as active for patients and plans?
The listing shows COREY MICHAEL KEISTER (DPT) as active in the NPI system.
What healthcare role does COREY MICHAEL KEISTER (DPT) hold?
Scheduling teams often label COREY MICHAEL KEISTER (DPT) under Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for COREY MICHAEL KEISTER (DPT)?
COREY MICHAEL KEISTER (DPT)'s geographic hint is Grove City, Ohio in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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