Individual provider Active NPI

Thomas James Keough Jr. Jr.

  • Physical Therapy Assistant
  • San Diego, CA
National Provider Identifier
1023917598
Registry record updated Nov 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
55273 Issued in CA
Practice address
5807 University Ave Ste 6
San Diego, CA 92115-6295
Phone
(619) 500-1098
NPI assigned
Nov 2, 2026
Last updated
Nov 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 55273 CA Primary

Addresses

Primary practice location

5807 University Ave Ste 6
San Diego, CA 92115-6295

Mailing address

2925 Alta Dr
National City, CA 91950-7806
Phone (619) 756-3182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1793577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793577600000",
    "number": "1023917598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 ALTA DR",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919507806",
            "telephone_number": "619-756-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5807 UNIVERSITY AVE STE 6",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921156295",
            "telephone_number": "619-500-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEOUGH JR.",
        "first_name": "THOMAS",
        "middle_name": "JAMES",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-11-02",
        "last_updated": "2026-11-02",
        "certification_date": "2026-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "55273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.