Active NPI
Ronna Ross Keagle, DPT
- Physical Therapist
- Montgomery Village, MD
National Provider Identifier
1336160936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 20276
- Practice address
- 9409 Bethany PL
Montgomery Village, MD 20886-1227 - Phone
- (301) 325-1890
- NPI assigned
- Jul 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 20276 | MD | Primary |
Addresses
Primary practice location
9409 Bethany PL
Montgomery Village, MD 20886-1227
Mailing address
9409 Bethany PL
Montgomery Village, MD 20886-1227
Phone (301) 325-1890
Other names 1
- Ronna Lynn Ross
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20276 | MD | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382054400000",
"number": "1336160936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9409 BETHANY PL",
"city": "MONTGOMERY VILLAGE",
"state": "MD",
"postal_code": "208861227",
"telephone_number": "301-325-1890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9409 BETHANY PL",
"city": "MONTGOMERY VILLAGE",
"state": "MD",
"postal_code": "208861227",
"telephone_number": "301-325-1890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEAGLE",
"first_name": "RONNA",
"middle_name": "ROSS",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2013-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "20276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RONNA",
"last_name": "ROSS",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Montgomery Village, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.