NPI age
4 years
Enumerated 2021-06-01
● Active
Type 1 · Individual
Lucas Keller
Keller is 1 of 4 physical therapist providers in Meridian and 1 of 44 in Idaho.
Primary specialty
Physical Therapist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-06-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 44 active physical therapist providers in Idaho.
NPI age
4 years
↓ 5 yr below median (9 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
34% of peers hold subspecialties
NPI lifetime · 2021 → 2026
2021-06Enumerated in NPPES
2021
2026
Where they practice
Practice location
3080 E Gentry Way Ste 180
Meridian, ID 836423014
Mailing address
17850 28th St Nw
Baldwin, ND 585219773
Specialties
-
Physical Therapist PrimaryA licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic...
Practice context
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.