Karen Lynn Keener, LMT, AT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

33.009680 Issued in OH

Practice address

3705 State Rd Ste 102
Ashtabula, OH 44004-5957

Phone

(440) 997-0014

Fax

(440) 998-7032

NPI assigned

Feb 5, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Karen Lynn Maki Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Synergy Physical Therapy and Wellness, LLC

  • Physical Therapy Clinic/Center
  • Ashtabula, OH
  • NPI 1942450622
  NPD (past)

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1376008284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 STATE RD STE 102",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440045957",
            "telephone_number": "440-997-0014",
            "fax_number": "440-998-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 STATE RD STE 102",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440045957",
            "telephone_number": "440-997-0014",
            "fax_number": "440-998-7032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENER",
        "first_name": "KAREN",
        "middle_name": "LYNN",
        "credential": "LMT, AT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.009680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "MAKI",
            "middle_name": "LYNN",
            "credential": "LMT, AT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Riley A Kackley
• Gurleen Kaur Kang, PHARMD
• Jessie Kankula
• Carrie Kaydo, LPN
• Daniel Brian Keaton, M.D.
• Keith L Davis MD
• Kristen Marie Kelley, LPN
• Kellogg Movement Performance Thearpy LLC
• Morghan Kelly
• Tauri Lynn Kelly, LPN

• Massage Therapist in Ashtabula, OH
• Providers in Ashtabula, OH by specialty
• Massage Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.