Individual provider Active NPI

Mary Virginia Keely, R.P.T.

  • Specialist
  • Aptos, CA
National Provider Identifier
1215917026
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
32354 Issued in CA
Practice address
2505 Cabrillo College Dr
C
Aptos, CA 95003-3166
Phone
(831) 464-3901
Fax
(831) 464-3010
NPI assigned
Jan 18, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 32354 CA Primary

Addresses

Primary practice location

2505 Cabrillo College Dr
C
Aptos, CA 95003-3166

Mailing address

2505 Cabrillo College Dr
C
Aptos, CA 95003-3166
Phone (831) 464-3901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051103000695 CA Practitioner - Physical Therapist in Private Practice 5496773954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ronning Physical Therapy, Inc.Group PAC ID 5991748279, 7 clinicians

Practice addresses (Care Compare)

2505 Cabrillo College Dr
C
Aptos, CA 95003-3166
Phone (831) 464-3901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32354CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ronning Physical Therapy, Inc. Specialist CurrentSince Aug 30, 2005 Accepting new patients

Locations

2505 Cabrillo College Dr
Aptos, CA 95003
Phone (831) 464-3901

2505 Cabrillo College Dr
#C
Aptos, CA 95003
Phone (831) 464-3901

2505 Cabrillo College Dr
Ste C
Aptos, CA 95003

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1215917026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 CABRILLO COLLEGE DR",
            "address_2": "C",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950033166",
            "telephone_number": "831-464-3901",
            "fax_number": "831-464-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 CABRILLO COLLEGE DR",
            "address_2": "C",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950033166",
            "telephone_number": "831-464-3901",
            "fax_number": "831-464-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEELY",
        "first_name": "MARY",
        "middle_name": "VIRGINIA",
        "name_prefix": "Ms.",
        "credential": "R.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "32354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aptos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.