Individual provider Active NPI

Hayley Rae Keenan, DPT

  • Physical Therapist
  • Redmond, WA
National Provider Identifier
1346845385
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
60934951 Issued in WA
Practice address
15446 Bel Red Rd Ste B20
Redmond, WA 98052-5526
Phone
(425) 869-2777
NPI assigned
Nov 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 60934951 WA Primary

Addresses

Primary practice location

15446 Bel Red Rd Ste B20
Redmond, WA 98052-5526

Mailing address

15446 Bel Red Rd Ste B20
Redmond, WA 98052-5526
Phone (425) 869-2777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210317003041 WA Practitioner - Physical Therapist in Private Practice 1355758350 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
En Pointe Physical Therapy PLLCGroup PAC ID 4880953322, 4 clinicians

Practice addresses (Care Compare)

15446 Bel Red Rd
Suite B10
Redmond, WA 98052-5525
Phone (360) 528-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60934951WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Rehabilitation PLLC Physical Therapist CurrentSince Dec 7, 2020 Accepting new patients
En Pointe Physical Therapy, PLLC Physical Therapist CurrentSince Jul 1, 2022 Accepting new patients
Summit Rehabilitation PLLC Physical Therapist CurrentSince Dec 7, 2020 Accepting new patients
Pro-Active Sportsmed PLLC PastSince Aug 7, 2022 Accepting new patients

Locations

2035 Corte del Nogal
Ste 200
Carlsbad, CA 92011
Phone (760) 931-8310

9514 4th St NE
Unit 101
Lake Stevens, WA 98258
Phone (425) 397-2327

15906 Mill Creek Blvd
Ste 106
Mill Creek, WA 98012
Phone (425) 332-1030

15446 Bel Red Rd
Ste B20
Redmond, WA 98052
Phone (425) 869-2777

15446 Bel Red Rd
Ste B10
Redmond, WA 98052
Phone (360) 528-3300

111 Tumwater Blvd SE
Ste 113
Tumwater, WA 98501
Phone (360) 528-3300

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1346845385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15446 BEL RED RD STE B20",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525526",
            "telephone_number": "425-869-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15446 BEL RED RD STE B20",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525526",
            "telephone_number": "425-869-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENAN",
        "first_name": "HAYLEY",
        "middle_name": "RAE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60934951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.