Individual provider Active NPI

Dylan Austin Keene, PT, DPT

  • Physical Therapist
  • Lakeway, TX
National Provider Identifier
1427872845
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1401767 Issued in TX
Practice address
15401 Debba Dr
Lakeway, TX 78734-3628
Phone
(512) 522-7637
NPI assigned
Nov 12, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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 1401767 TX Primary

Addresses

Primary practice location

15401 Debba Dr
Lakeway, TX 78734-3628

Mailing address

15401 Debba Dr
Lakeway, TX 78734-3628
Phone (512) 522-7637

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241210002559 TX Practitioner - Physical Therapist in Private Practice 3375079650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Helix Physical Therapy and Chiropractic LLCGroup PAC ID 5698213981, 2 clinicians

Practice addresses (Care Compare)

15401 Debba Dr
Lakeway, TX 78734-3628
Phone (512) 522-7637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Helix Physical Therapy & Chiropractic LLC Physical Therapist CurrentSince Nov 7, 2024 Accepting new patients

Locations

15401 Debba Dr
Lakeway, TX 78734
Phone (512) 522-7637

Organizations & group practices 1

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": "1731369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1427872845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15401 DEBBA DR",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787343628",
            "telephone_number": "512-522-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15401 DEBBA DR",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787343628",
            "telephone_number": "512-522-7637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENE",
        "first_name": "DYLAN",
        "middle_name": "AUSTIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1401767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeway, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.