John McKeever
Individual provider Active NPI Physical Therapist · Kingston, WA
NPI 1033729967 · NPPES record last updated Aug 5, 2020
Key facts
- NPI
- 1033729967
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT61043222 (WA)
- Practice address
- 26001 Barber Cut Off Rd NE Ste C1
Kingston, WA 98346-8484 - Phone
- (360) 297-7050
- Fax
- (360) 297-7502
- NPI assigned
- Aug 5, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kitsap Physical Therapy and Sports Clinic PS Inc
Practice addresses (Care Compare)
2400 NW Myhre Rd
Silverdale, WA 98383-7672
Phone (360) 613-1834
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210323000650 | WA | Practitioner - Physical Therapist in Private Practice | 9739596529 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kitsap Physical Therapy and Sports Clinic PS Inc | Physical Therapist | Current |
Accepting new patients |
| Port Gamble S'Klallam Tribe | Current |
Accepting new patients | |
| Port Gamble S'Klallam Tribe | Current |
Accepting new patients | |
| Kitsap Physical Therapy and Sports Clinic PS Inc | Physical Therapist | Current |
Accepting new patients |
Locations
26001 Barber Cut Off Rd NE
Ste C1
Kingston, WA 98346
Phone (360) 297-7050
32020 Little Boston Rd NE
Kingston, WA 98346
Phone (360) 297-2840
2400 NW Myhre Rd
Ste 101
Silverdale, WA 98383
Phone (360) 598-3764
2400 NW Myhre Rd
Ste 102
Silverdale, WA 98383
Phone (360) 598-3764
Interoperability endpoints
- john.mckeever.d1.p1@direct.pgsklallamtribe.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT61043222 | WA | Yes |
Addresses
Primary practice location
26001 Barber Cut Off Rd NE Ste C1
Kingston, WA 98346-8484
Mailing address
2400 NW Myhre Rd Ste 101
Silverdale, WA 98383-7672
Phone (360) 598-3764
Other providers in Kingston, WA
- Hannah Mackenzie Listle
- Malone Pediatrics
- Jamie Maloney
- Alisha Martinez
- Luke Bruce McDaniel
- Mellissa Ilgen, DDS, PLLC
- Amy Membrere
- Michelle Morse
- My Hearth Therapy LLC
- Vibeke Newell
All providers in Kingston, WA · Physical Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.