KEISHA ELLIS (PT) – Physical Therapist, NPI 1629358387

KEISHA ELLIS (PT) is a healthcare provider. based in Campbellsville, Kentucky. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. 003910 (KY). The NPI Number for KEISHA ELLIS (PT) is 1629358387

Main info

Female
Name
KEISHA ELLIS (PT)
NPI
1629358387
Phone
(270) 465-7768
Address
105 LAURA SUE HUMPHRESS DR
Enumeration Date
25 August 2011
Last Update Date
25 August 2011
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for KEISHA ELLIS (PT)

  • 105 LAURA SUE HUMPHRESS DR

    CAMPBELLSVILLE, KY 427188899

    Phone: (270) 465-7768

    Fax: (270) 465-0068

    Type: Location

  • 514 TURKEY RUN RD

    CAMPBELLSVILLE, KY 427184929

    Phone: (270) 463-6173

    Fax: (270) 465-0068

    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.

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Medicare Enrollment & Revalidation

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

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Medicare Utilization (FFS)

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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 42718)

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Reviews

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Frequently asked questions

What is KEISHA ELLIS (PT)'s NPI number?
KEISHA ELLIS (PT)'s NPI is 1629358387 — the number used across U.S. healthcare to identify this provider.
Is there an active status for KEISHA ELLIS (PT)?
For scheduling context, KEISHA ELLIS (PT) is shown as active in the registry.
What area of care is associated with KEISHA ELLIS (PT)?
KEISHA ELLIS (PT)'s record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
Is KEISHA ELLIS (PT) located near Campbellsville?
KEISHA ELLIS (PT) currently maps to Campbellsville, Kentucky in this extract.
When was this NPI issued?
Enumeration for KEISHA ELLIS (PT) is noted as August 25, 2011 where the registry provides it.

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