Eric Matthew Keene, PT, DPT, CFMT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

010257 Issued in CT

Practice address

1130 Crosspointe LN Ste 6
Webster, NY 14580

Phone

(585) 671-1030

Fax

(585) 671-1991

NPI assigned

Dec 30, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Manual Physical Therapy Specialists PLLC

  • Orthopedic Physical Therapist
  • Penfield, NY
  • NPI 1871332643
  NPD Authorized official
• Elite Health Services

  • Physical Therapist
  • Cos Cob, CT
  • NPI 1336475664
  NPD (past)

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1356706691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 CROSSPOINTE LN STE 6",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802986",
            "telephone_number": "585-671-1030",
            "fax_number": "585-671-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 CROSSPOINTE LN STE 6",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "14580",
            "telephone_number": "585-671-1030",
            "fax_number": "585-671-1991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1445 E Putnam Ave",
            "address_2": "2nd floor",
            "address_purpose": "LOCATION",
            "city": "Old Greenwich",
            "state": "CT",
            "postal_code": "068701379",
            "country_code": "US",
            "telephone_number": "203-983-5748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Empire Blvd Bldg 2",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "NY",
            "postal_code": "145801957",
            "country_code": "US",
            "telephone_number": "585-671-1030",
            "fax_number": "585-671-1991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEENE",
        "first_name": "ERIC",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CFMT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-30",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "010257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Irwin Katz, D.D.S.
• Samantha L Kazimer
• Julie Keefe
• Alaina M Keem, DC
• Matthew Paul Keem, DC
• Jaime Larsen Kenny, OD
• Timothy Kersey, PA
• Neeru Khanna, M.D.
• Bohdanna Khrushch, RN
• Puneeta Khurana, M.D.

• Physical Therapist in Webster, NY
• Providers in Webster, 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 Jul 10, 2019; 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.