Keoni Stallworth, DPT
NPI 1154163186 · Physical Therapist · Los Angeles, CA
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Keoni Stallworth, DPT is a Physical Therapist provider in Los Angeles, CA (NPI 1154163186).
Provider details
- NPI number
- 1154163186
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- Yes
- License
- PENDING (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-06-11
- Last updated
- 2025-03-03
- Certified
- 2025-03-03
Frequently asked questions
- What is Keoni Stallworth's NPI number?
- Keoni Stallworth's National Provider Identifier (NPI) is 1154163186, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keoni Stallworth's specialty?
- Keoni Stallworth is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Keoni Stallworth located?
- Keoni Stallworth's practice location on file with NPPES is 1640 Marengo St Hba 102, Los Angeles, CA 90089-3603.
- What is Keoni Stallworth's phone number?
- The practice phone number listed in the NPPES registry for Keoni Stallworth is (323) 865-1200.
- Does Keoni Stallworth accept Medicare?
- Keoni Stallworth is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Keoni Stallworth's NPI active?
- Yes — Keoni Stallworth's NPI (1154163186) is active in the NPPES registry as of the last update on 2025-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.