Elizabeth Leuci Keogh, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

016713 Issued in NY

Practice address

8812 151St Ave
Apt 5L
Howard Beach, NY 11414-1450

Phone

(917) 482-4942

NPI assigned

Jul 21, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Elizabeth Keogh Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1114370400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8812 151ST AVE",
            "address_2": "APT 5L",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114141450",
            "telephone_number": "917-482-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8812 151ST AVE",
            "address_2": "APT 5L",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114141450",
            "telephone_number": "917-482-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEOGH",
        "first_name": "ELIZABETH",
        "middle_name": "LEUCI",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "016713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "KEOGH",
            "prefix": "MRS.",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Chyung-Fen Kao
• Julia Katchen, LMSW
• Brian Thomas Kelly, DC
• Jeanne Marie Kelly, MA, CCC-SLP
• Emily Kelman-Bravo, LCSW
• Wajiha Khalid, PHARM.D.
• Saefullah Khan
• Maryam Khwaja, LCSW
• Madeleine Kirby, PA
• Donna S Kirell, D.P.M.

• Physical Therapist in Howard Beach, NY
• Providers in Howard Beach, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.