Organization Active NPI

Jeroen Keessen

  • Physical Therapist
  • Newburgh, NY
National Provider Identifier
1053520445
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
014752-1 Issued in NY
Legal business name
JEROEN KEESSEN
Doing business as
alliance physical therapy
Practice address
1400 Route 300
Suite 9
Newburgh, NY 12550-2995
Phone
(845) 566-3514
Fax
(845) 566-3518
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Mr. Jeroen Keessen, PT
Title
Owner
Phone
(845) 566-3514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 014752-1 NY Primary

Addresses

Primary practice location

1400 Route 300
Suite 9
Newburgh, NY 12550-2995

Mailing address

1400 Route 300
Suite 9
Newburgh, NY 12550-2995
Phone (845) 566-3514

Other names 1

  • alliance physical therapy Doing business as

National Provider Directory

National Provider Directory

Locations

1400 Route 300
Ste 9
Newburgh, NY 12550
Phone (845) 566-3514

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1053520445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 ROUTE 300",
            "address_2": "SUITE 9",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502995",
            "telephone_number": "845-566-3514",
            "fax_number": "845-566-3518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 ROUTE 300",
            "address_2": "SUITE 9",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502995",
            "telephone_number": "845-566-3514",
            "fax_number": "845-566-3518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROEN KEESSEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "KEESSEN",
        "authorized_official_first_name": "JEROEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-566-3514",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "014752-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "alliance physical therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.