| Bryn Nicholas Keller, PT, DPT, CERT DN | |
|
1000 Ochsner Blvd, Covington, LA 70433-8107 | |
| (985) 875-2777 | |
| Not Available |
| Full Name | Bryn Nicholas Keller |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1000 Ochsner Blvd, Covington, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255023354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 10966 (Louisiana) | Primary |
| Provider Name | Star Physical Therapy New Orleans East |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780008573 PECOS PAC ID: 5193943231 Enrollment ID: O20140902001391 |
| Provider Name | Synergy Care Southeast, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1891156055 PECOS PAC ID: 6204079163 Enrollment ID: O20160722001624 |
| Mailing Address | Practice Location Address |
|---|---|
| Bryn Nicholas Keller, PT, DPT, CERT DN 2875 Villere St, Mandeville, LA 70448-4924 Ph: (985) 778-9709 | Bryn Nicholas Keller, PT, DPT, CERT DN 1000 Ochsner Blvd, Covington, LA 70433-8107 Ph: (985) 875-2777 |
Austen Chase Dwight, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 E Boston St, Covington, LA 70433 Phone: 985-630-4489 | |
Lea Anne Krieger, PT, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19105 Sandy Ln, Covington, LA 70433 Phone: 985-792-7700 | |
Laura Eckel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 653 Myrtle Dr, Covington, LA 70433 Phone: 985-893-4700 Fax: 985-893-3211 | |
Christian Paul Stafford, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 70367 S Tyler St Suite 200, #21, Covington, LA 70433 Phone: 985-590-3303 | |
Kevin Gilbert Baer, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 71121 Highway 21 Apt D, Covington, LA 70433 Phone: 985-898-3979 Fax: 985-898-3981 | |
Crystal C. Ferris, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 103 Northpark Blvd, Suite 205, Covington, LA 70433 Phone: 985-871-7878 | |
Jonathan Bonfiglio, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1201 Ochsner Blvd, Suite A, Covington, LA 70433 Phone: 985-801-7145 Fax: 985-801-7146 |