Provider Demographics
NPI:1649155466
Name:HOPKINS, KEITH DANIEL (DPT)
Entity type:Individual
Prefix:DR
First Name:KEITH
Middle Name:DANIEL
Last Name:HOPKINS
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1467 BUTTERNUT CIR
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46140-7811
Mailing Address - Country:US
Mailing Address - Phone:773-632-7651
Mailing Address - Fax:
Practice Address - Street 1:300 S CARROLL RD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46229-3959
Practice Address - Country:US
Practice Address - Phone:317-586-8368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05015831A2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic