Individual provider Active NPI

John F Keegan, DPT

  • Physical Therapist
  • Wall Township, NJ
National Provider Identifier
1376942771
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01560700 Issued in NJ
Practice address
4810 Belmar Blvd
Wall Township, NJ 07753-6952
Phone
(732) 938-5333
Fax
(732) 938-5680
NPI assigned
Aug 21, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 40QA01560700 NJ
Sports Physical Therapist 2251S0007X 40QA01560700 NJ
Physical Therapist 225100000X 40QA01560700 NJ Primary

Addresses

Primary practice location

4810 Belmar Blvd
Wall Township, NJ 07753-6952

Mailing address

4810 Belmar Blvd
Wall Township, NJ 07753-6952
Phone (732) 938-5333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140929002401 NJ Practitioner - Physical Therapist in Private Practice 2961622758 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Rutgers New Jersey Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthonj LLCGroup PAC ID 6800225178, 302 clinicians

Practice addresses (Care Compare)

4810 Belmar Blvd
Wall Township, NJ 07753-6952
Phone (732) 938-6090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Health Chiropractic CurrentSince May 24, 2021 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Mar 23, 2015 Accepting new patients
Paragon Sport Spine & Wellness LLC Physical Therapist CurrentSince May 24, 2021 Accepting new patients
Orthonj LLC CurrentSince Mar 1, 2020 Accepting new patients
Atlantic Physical Therapy Center CurrentSince Aug 25, 2014 Accepting new patients
Orthonj LLC CurrentSince Mar 1, 2020 Accepting new patients
Ivyrehab Network Inc. Physical Therapist Current Accepting new patients
Ivyrehab Network Inc Physical Therapist CurrentSince Mar 23, 2015 Accepting new patients
Atlantic Physical Therapy Center Physical Therapist CurrentSince Aug 25, 2014 Accepting new patients

Locations

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

2315 Route 34
Manasquan, NJ 08736
Phone (732) 974-0404

2315 Route 34
Ste D
Manasquan, NJ 08736
Phone (732) 974-0404

1037 Route 70
Manchester, NJ 08759
Phone (732) 408-1800

5 Plainsboro Rd
Ste 100
Plainsboro, NJ 08536
Phone (609) 750-1600

17 Main St
Ste 403
Robbinsville, NJ 08691
Phone (609) 686-2050

1500 Meeting House Rd
Sea Girt, NJ 08750
Phone (732) 722-8787

226 Route 37 W
Toms River, NJ 08755
Phone (732) 240-6060

1372 Route 9
Bldg 2
Toms River, NJ 08755
Phone (732) 240-9296

4810 Belmar Blvd
Wall Township, NJ 07753
Phone (732) 938-5333

4175 Veterans Memorial Hwy
Ste 202
Ronkonkoma, NY 11779

Organizations & group practices 9

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": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1376942771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 BELMAR BLVD",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077536952",
            "telephone_number": "732-938-5333",
            "fax_number": "732-938-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 BELMAR BLVD",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077536952",
            "telephone_number": "732-938-5333",
            "fax_number": "732-938-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEGAN",
        "first_name": "JOHN",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-21",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA01560700",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NJ",
            "license": "40QA01560700",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01560700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wall Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.