Andrew James Keal, PT, DPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0017297 Issued in CO

Practice address

1080 Eagleridge Blvd
Pueblo, CO 81008-2130

Phone

(719) 568-9790

Fax

(719) 568-9791

NPI assigned

Oct 8, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopedic and Spine Therapy of Menasha SCGroup PAC ID 8123923869, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Orthopedic and Spine Therapy of Menasha SC

  • Physical Therapist
  • Kaukauna, WI
  • NPI 1831260611
  Medicare reassignment Care Compare group NPD
• Orthopedic & Spine Therapy of New London, SC

  • Physical Therapy Clinic/Center
  • New London, WI
  • NPI 1437187135

  Physical Therapist

  Medicare reassignment NPD
• Orthopedic & Spine Therapy of Oshkosh SC

  • Physical Therapist
  • Oshkosh, WI
  • NPI 1952418816
  Medicare reassignment NPD
• Orthopedic & Spine Therapy of Menasha SC

  • Physical Therapist
  • Menasha, WI
  • NPI 1205863602
  NPD
• Orthopedic & Spine Therapy of Menasha SC

  • Physical Therapist
  • Appleton, WI
  • NPI 1932136322
  NPD

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1245837665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 EAGLERIDGE BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082130",
            "telephone_number": "719-568-9790",
            "fax_number": "719-568-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 EAGLERIDGE BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082130",
            "telephone_number": "719-568-9790",
            "fax_number": "719-568-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEAL",
        "first_name": "ANDREW",
        "middle_name": "JAMES",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0017297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@synergyptw.com",
            "affiliation": "N",
            "endpointDescription": "Office Hippa Protected Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1080 Eagleridge Blvd",
            "city": "Pueblo",
            "state": "CO",
            "country_code": "US",
            "postal_code": "810082130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Abhijit Karwa, MD
• Allison Morgan Kasper, CF-SLP
• Kathe Davis, PT, PLLC
• Lindsey Kalolena Kawahakui, D.D.S.
• Maria T. Keairnes, LCSW
• Emily Anne Kearney, RDN
• Danielle Dalynn Keasling, FNP-C
• Carrie Fox Keating, MA, NCC, LPC
• John J Keating IV, DMD
• Indira Kedlaya, MD

• Physical Therapist in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.