Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Keith Everette Daniels III, DPT

Individual provider Physical Therapist · NPI 1619690955

Dr. Keith Everette Daniels III, DPT is a Physical Therapist in Private Practice in Cherry Hill, New Jersey. Qualified in 2022, 4 years ago. Practices with Ipta Clinical, LLC, a 126-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
4
Licensed in
NJ
In the registry since
2022
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

496 Kings Hwy N Ste 110
Cherry Hill, NJ 08034-1015
Phone: (856) 438-5633
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA02118000 (NJ)

Record details

NPI number1619690955
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedSeptember 21, 2022
Last updated in NPPESSeptember 21, 2022
Certification dateSeptember 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ipta Clinical, Llc — 126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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