What is Derek Ketelsen's NPI number?

Derek Ketelsen's National Provider Identifier (NPI) is 1215598586, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Derek Ketelsen's specialty?

Derek Ketelsen is listed in the NPPES registry with a primary specialty of Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).

Where is Derek Ketelsen located?

Derek Ketelsen's practice location on file with NPPES is 800 S King St, Honolulu, HI 96813-3010.

What is Derek Ketelsen's phone number?

The practice phone number listed in the NPPES registry for Derek Ketelsen is (563) 212-0377.

Is Derek Ketelsen's NPI active?

Yes — Derek Ketelsen's NPI (1215598586) is active in the NPPES registry as of the last update on 2020-05-08.

IndividualActive

Derek Ketelsen, DPT

NPI 1215598586 · Physical Therapy Clinic/Center · Honolulu, HI

Derek Ketelsen, DPT is a Physical Therapy Clinic/Center provider in Honolulu, HI (NPI 1215598586).

Provider details

NPI number: 1215598586
Entity type: Individual
Primary specialty: Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
Credential: DPT
Sex: Male
Sole proprietor: Yes
License: 4648 (HI)

Specialties & taxonomies

Physical Therapy Clinic/CenterPrimary261QP2000XLicense 4648 (HI)
Ambulatory Health Care Facilities

Profile Score

Established profile(66/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
7 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

800 S King St

Honolulu, HI 96813-3010

Phone: (563) 212-0377

Street-level locationGet directions

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Mailing address