Individual provider Active NPI

Jennifer S Keeny, MSPT

  • Physical Therapist
  • Newtown, PA
National Provider Identifier
1366574840
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016339 Issued in PA
Practice address
11 Cambridge LN
Newtown, PA 18940-3326
Phone
(215) 860-3623
Fax
(215) 860-3763
NPI assigned
Mar 11, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT016339 PA Primary

Addresses

Primary practice location

11 Cambridge LN
Newtown, PA 18940-3326

Mailing address

PO Box 74
Fairless Hills, PA 19030-0074
Phone (215) 860-3623

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040610000306 PA Practitioner - Physical Therapist in Private Practice 4385627496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inner Circle Consulting, Inc.Group PAC ID 1052394178, 3 clinicians

Practice addresses (Care Compare)

1262 Wood LN
Suite 205
Langhorne, PA 19047-4251
Phone (215) 860-3623

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sports and Back Rehabilitation Inc Physical Therapist Past Accepting new patients
Core Performance and Rehabilitation Physical Therapist Past Accepting new patients

Organizations & group practices 3

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": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366574840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190300074",
            "telephone_number": "215-860-3623",
            "fax_number": "215-860-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CAMBRIDGE LN",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189403326",
            "telephone_number": "215-860-3623",
            "fax_number": "215-860-3763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENY",
        "first_name": "JENNIFER",
        "middle_name": "S",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT016339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.