Patrick Mullen McKeon, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1142 Issued in NE

Practice address

880 Park Dr
Springfield, NE 68059-6845

Phone

(402) 253-3079

NPI assigned

Sep 11, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Summit Health Physical Therapy PC

  • Physical Therapist
  • Springfield, NE
  • NPI 1538477807
  NPD

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1174873889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 PARK DR",
            "city": "SPRINGFIELD",
            "state": "NE",
            "postal_code": "680596845",
            "telephone_number": "402-253-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 PARK DR",
            "city": "SPRINGFIELD",
            "state": "NE",
            "postal_code": "680596845",
            "telephone_number": "402-253-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEON",
        "first_name": "PATRICK",
        "middle_name": "MULLEN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-11",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NE",
            "license": "1142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew M Liebentritt, DDS
• Ginni Lynam
• Cheryl Ann Marsden
• Shanna Massman, MA, ATC
• Jan McKay
• Nancy Meinders
• Judith K Messer
• Mohr Adventures LLC
• Paige Moreno
• Jaime Moyers

• All providers in Springfield, NE
• Physical Therapy Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.