Eric Keelen, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA18346 Issued in FL

Practice address

540 Kingsley Ave
Orange Park, FL 32073-4847

Phone

(904) 264-2156

NPI assigned

Sep 30, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194818526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 CALLE BUENA VIS",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327248754",
            "telephone_number": "386-736-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734847",
            "telephone_number": "904-264-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEELEN",
        "first_name": "ERIC",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA18346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Denise Katich
• Ashley Marie Kaufman
• Ahmad Amir Kayali, MD
• Crystle Taiyo Kearley, DPT
• Jack Keehn, MD
• Kaitlyn Burgess Keen, DMD
• Janel Laura Keener, MD
• Ruth J Keili
• Vasiljana Stathi Kelly, FNP
• Kelm Enterprises Corp (Butterfly Homecare of Southwest Jacksonville)

• Physical Therapy Assistant in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.