Carol A Keenan, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305003508 Issued in VA

Practice address

2105 Idlewild Blvd
Fredericksburg, VA 22401-2698

Phone

(757) 784-8343

NPI assigned

May 16, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Empowerme Rehabilitation, LLC

  • Multi-Specialty Clinic/Center
  • Charlotte, NC
  • NPI 1285382440

  Physical Therapist

  Medicare reassignment NPD
• Empowerme Rehabilitation, LLC

  • Multi-Specialty Clinic/Center
  • Williamsburg, VA
  • NPI 1881366730

  Physical Therapist

  NPD

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1073565453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 IDLEWILD BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224012698",
            "telephone_number": "757-784-8343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 IDLEWILD BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224012698",
            "telephone_number": "757-784-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENAN",
        "first_name": "CAROL",
        "middle_name": "A",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305003508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "191907",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kays Kare Services
• Taskeen Kazmi
• Moses D Kear, MD
• Zechariah Lee Kearns
• Selomie Mequanint Kebede, M.D
• Patricia K Keenan, PA-C
• Karlee Brooke Keene
• John D Keener, NP
• Benjamin Zachary Kekoler, CRNA
• Heather Kellam, NP

• Physical Therapist in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.