Individual provider Active NPI

Casey Keane, PT, DPT, AT, ATC

  • Physical Therapist
  • East Jordan, MI
National Provider Identifier
1275054876
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
656 Forest Lake LN
East Jordan, MI 49727-8672
Phone
(231) 676-7639
NPI assigned
Jul 5, 2017
Last updated
Oct 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201219000124 MI Practitioner - Physical Therapist in Private Practice 1850703612 Reassigns benefits to 1 organization
I20231108003355 CA Practitioner - Physical Therapist in Private Practice 1850703612 Reassigns benefits to 2 organizations

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
Active Recovery Physical Therapy and Sports RehabGroup PAC ID 2163849175, 2 clinicians
Sand Coast Rehab Physical Therapy IncGroup PAC ID 7315352911, 131 clinicians

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

OrganizationSpecialtyStatusNew patients
Golden State Orthopedics & Spine CurrentSince Oct 2, 2023 Accepting new patients
Sand Coast Rehab Physical Therapy Inc Physical Therapist CurrentSince Jun 1, 2024 Accepting new patients
Golden State Orthopedics & Spine CurrentSince Oct 2, 2023 Accepting new patients
Active Recovery Physical Therapy & Sports Rehab Physical Therapist CurrentSince Dec 1, 2025 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

  • Direct secure messaging: casey.keane.p1@direct.orthonorcal.nextgenshare.com
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.