Keith Neil Bishop, PT, SCS, ATC
Physical Therapist in Fort Lee, VA. Individual provider (NPI-1).
NPI number1912005463
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1912005463
- Entity type
- Individual (NPI-1)
- Name
- Keith Neil Bishop
- Credential
- PT, SCS, ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 18671 | CA | Yes |
Practice location
700 24th StUsameddac Kahc
Fort Lee, VA 23801-1716
Phone 804-734-9295 · Fax 804-734-9016
Mailing address
700 24th StFort Lee, VA 23801-1716
Phone 804-734-9295 · Fax 804-734-9016
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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