Individual provider Active NPI

Keith A Franzen, M.A., P.T.

  • Physical Therapist
  • East Wenatchee, WA
National Provider Identifier
1235253048
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00005895 Issued in WA
Practice address
230 Grant Road, Suite B27
East Wenatchee, WA 98802
Phone
(509) 884-1437
Fax
(509) 884-2811
NPI assigned
Mar 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00005895 WA Primary

Addresses

Primary practice location

230 Grant Road, Suite B27
East Wenatchee, WA 98802

Mailing address

2203 Inglewood
East Wenatchee, WA 98802
Phone (509) 293-4328

Other identifiers 1

IdentifierTypeStateIssuer
7052665MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150113002411 AK Practitioner - Physical Therapist in Private Practice 0143242701 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Chiropractic LLC Physical Therapist CurrentSince Apr 17, 2023 Accepting new patients
Arctic Chiropractic Fairbanks, LLC CurrentSince Jan 1, 2017 Accepting new patients
Associates in Physical Therapy, PLLC Physical Therapist PastSince Oct 1, 1997 Accepting new patients

Locations

1929 Airport Way
Fairbanks, AK 99701
Phone (907) 479-0036

308 Old Steese Hwy
Fairbanks, AK 99701
Phone (907) 451-7246

Organizations & group practices 3

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235253048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 INGLEWOOD",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "98802",
            "telephone_number": "509-293-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 GRANT ROAD, SUITE B27",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "98802",
            "telephone_number": "509-884-1437",
            "fax_number": "509-884-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANZEN",
        "first_name": "KEITH",
        "middle_name": "A",
        "credential": "M.A., P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00005895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7052665",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Wenatchee, WA

Sources for this page

  • 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.