Bryn Nicholas Keller, PT, DPT, CERT DN
NPI 1255023354ActiveIndividual· Physical Therapist· Covington, LA
Physical Therapist (PT, DPT, CERT DN) with Avala Physician Network LLC, practicing in Covington, Louisiana. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1255023354 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT, CERT DN |
| Sole proprietor | No |
| NPI issued | May 25, 2023 |
| Last updated in NPPES | May 26, 2023 |
| Certified by provider | May 26, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 10966 | LA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (LA) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Avala Physician Network LLCCovington, LA · 14 clinicians
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