IndividualActive
Kent Keller, PTA
NPI 1174884597 · Physical Therapy Assistant · Medina, OH
Provider details
- NPI number
- 1174884597
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- PTA01677 (OH)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
727 E Reagan Pkwy Apt 215
Medina, OH 44256-1246
Phone: (330) 690-9021
Street-level locationGet directions
Mailing address
727 E. Reagan Parkway, Apt 215
Medina, OH 44256
Registry dates
- Enumerated
- 2012-06-01
- Last updated
- 2012-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.