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

Keith Roed, PT, DPT, CMPT

Individual provider Physical Therapist · NPI 1942597323

Keith Roed, PT, DPT, CMPT is a Physical Therapist in Private Practice in Sioux City, Iowa. Qualified in 2011, 15 years ago. Practices with Impact Physical Therapy and Wellness LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Iowa and South Dakota.

Years since qualifying
15
Licensed in
IA, SD
In the registry since
2011
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
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

4295 Sergeant Rd
Sioux City, IA 51106
Phone: (712) 560-0460
Fax: (712) 560-4137
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 004816 (IA)
Physical Therapist Taxonomy 225100000X · Licence 1811 (SD)

Record details

NPI number1942597323
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , CMPT
Sole proprietorNo
NPI enumeratedJuly 6, 2011
Last updated in NPPESMay 15, 2026
Certification dateMay 15, 2026
Mailing address4295 Sergeant Rd, Sioux City, IA 51106-4625

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Impact Physical Therapy And Wellness Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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