Active NPI
Casey Keane, PT, DPT, AT, ATC
- Physical Therapist
- East Jordan, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 656 Forest Lake LN
East Jordan, MI 49727-8672 - Phone
- (231) 676-7639
- NPI assigned
- Jul 5, 2017
- Last updated
- Oct 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Athletic Trainer | 2255A2300X |
Addresses
Primary practice location
656 Forest Lake LN
East Jordan, MI 49727-8672
Mailing address
PO Box 715
East Jordan, MI 49727-0715
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, CA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
250 S Lake St
Suite E
East Jordan, MI 49727-9329
Phone (231) 222-2121
40 Camino Alto
Mill Valley, CA 94941-2956
Phone (732) 886-6202
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden State Orthopedics & Spine | Current | Accepting new patients | |
| Sand Coast Rehab Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Golden State Orthopedics & Spine | Current | Accepting new patients | |
| Active Recovery Physical Therapy & Sports Rehab | Physical Therapist | Current | Accepting new patients |
| Golden State Orthopedics & Spine | Current | Accepting new patients | |
| Golden State Orthopedics & Spine | Past | Accepting new patients |
Locations
221 E Hacienda Ave
Ste A
Campbell, CA 95008
Phone (408) 356-0444
3558 Round Barn Blvd
Ste 600
Santa Rosa, CA 95403
2405 Shadelands Dr
Walnut Creek, CA 94598
Phone (615) 930-0820
250 S Lake St
Ste E
East Jordan, MI 49727
Phone (231) 222-2121
Interoperability endpoints
- casey.keane.p1@direct.orthonorcal.nextgenshare.com
- casey.keane.p2@direct.muirortho.nextgenshare.com
Organizations & group practices 6
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.
-
- Physical Therapist
- East Jordan, MI
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- NPI 1972552990
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- Orthopaedic Surgery Physician
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- NPI 1710761960
-
- Orthopaedic Surgery Physician
- San Francisco, CA
- NPI 1457004897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698364800000",
"number": "1275054876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 715",
"city": "EAST JORDAN",
"state": "MI",
"postal_code": "497270715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "656 FOREST LAKE LN",
"city": "EAST JORDAN",
"state": "MI",
"postal_code": "497278672",
"telephone_number": "231-676-7639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEANE",
"first_name": "CASEY",
"credential": "PT, DPT, AT, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-05",
"last_updated": "2023-10-27",
"certification_date": "2023-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Jordan, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.