Kaitlin Keeley, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

046499 Issued in NY

Practice address

342 Fifth Ave
Pelham, NY 10803-1204

Phone

(914) 738-1748

NPI assigned

Sep 21, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1265048722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BANK ST APT 920",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106062026",
            "telephone_number": "540-435-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 FIFTH AVE",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108031204",
            "telephone_number": "914-738-1748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 N State Rd",
            "address_purpose": "LOCATION",
            "city": "Briarcliff Manor",
            "state": "NY",
            "postal_code": "105101571",
            "country_code": "US",
            "telephone_number": "914-745-7207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEELEY",
        "first_name": "KAITLIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213843",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nwakibe Kanu
• Amy S Kass, LCSWR
• Katherine Garden
• Ilissa Kaufman, MA
• Nadeem Kausar, R.PH
• Irina Kessler
• Susan Surujdai Khemraj
• Nicole Killoran
• Jea A. Kim, RN
• Elizabeth Susan King, LCSW

• Physical Therapist in Pelham, NY
• Providers in Pelham, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.