Dusty Lee Keegan, D.P.T.

Individual provider Active NPI Physical Therapist · Solvang, CA

NPI 1154417624 · NPPES record last updated Nov 20, 2007

Key facts

NPI
1154417624
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
29700 (CA)
Practice address
320 Alisal Road
Suite 406
Solvang, CA 93463-3750
Phone
(805) 688-5000
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
29700CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rob Rosenberry Physical Therapy, Inc Physical Therapist Past
since Dec 12, 2005
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 29700 CA Yes

Addresses

Primary practice location

320 Alisal Road
Suite 406
Solvang, CA 93463-3750

Mailing address

362 Kendale Road
Buellton, CA 93427-9628
Phone (805) 688-5081

Other providers in Solvang, CA

All providers in Solvang, CA · Physical Therapist in California

Sources for this page

Verify at the official NPI Registry.