Active NPI
Monique Helena Keenan, PT, MPT
- Physical Therapist
- Cody, WY
National Provider Identifier
1033918263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1039
- Practice address
- 707 Sheridan Ave
Cody, WY 82414-3409 - Phone
- (307) 578-2452
- NPI assigned
- Mar 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1039 | WY | Primary |
Addresses
Primary practice location
707 Sheridan Ave
Cody, WY 82414-3409
Mailing address
2327 Tresler Ave
Cody, WY 82414-9467
Phone (307) 899-4217
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1039 | WY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741651200000",
"number": "1033918263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2327 TRESLER AVE",
"city": "CODY",
"state": "WY",
"postal_code": "824149467",
"telephone_number": "307-899-4217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 SHERIDAN AVE",
"city": "CODY",
"state": "WY",
"postal_code": "824143409",
"telephone_number": "307-578-2452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEENAN",
"first_name": "MONIQUE",
"middle_name": "HELENA",
"credential": "PT, MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-11",
"last_updated": "2025-03-11",
"certification_date": "2025-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WY",
"license": "1039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cody, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.