Keelymae J Regan, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT61179361 Issued in WA

Practice address

1500 Continental PL
Mount Vernon, WA 98273-4105

Phone

(360) 424-7041

Fax

(360) 424-2456

NPI assigned

May 11, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1003490525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S LAVENTURE RD",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982746033",
            "telephone_number": "360-424-7041",
            "fax_number": "360-424-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 CONTINENTAL PL",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982734105",
            "telephone_number": "360-424-7041",
            "fax_number": "360-424-2456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2755 Hempstead Ct",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895232255",
            "country_code": "US",
            "telephone_number": "775-830-7482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1017 20th St",
            "address_purpose": "LOCATION",
            "city": "Anacortes",
            "state": "WA",
            "postal_code": "982212505",
            "country_code": "US",
            "telephone_number": "360-424-7041",
            "fax_number": "360-424-2456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7320 216th St SW Ste 320",
            "address_purpose": "LOCATION",
            "city": "Edmonds",
            "state": "WA",
            "postal_code": "980268006",
            "country_code": "US",
            "telephone_number": "425-673-3916",
            "fax_number": "425-673-3926",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1248 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802101504",
            "country_code": "US",
            "telephone_number": "720-699-9095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6235 S Main St Ste C-101",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800165373",
            "country_code": "US",
            "telephone_number": "303-344-9090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REGAN",
        "first_name": "KEELYMAE",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61179361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie V Rechholtz, ARNP, FNP-BC
• Julie Reed, MD
• Anne Foster Reeves, DDS
• Callie Reff
• Pam Reff, MSW
• Lauren Michelle Reichlin, LMT
• Hanna M Reisdorff, LMHCA, NCC
• Carly Beth Reiser, SLP
• Renal Care Group Northwest, Inc. (Fresenius Kidney Care Skagit Valley)
• Fred H. Renco, PA-C

• Physical Therapist in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.