Individual provider Active NPI

Lauryn O'Keefe, DPT

  • Physical Therapist
  • Worcester, MA
National Provider Identifier
1437758166
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25058 Issued in MA
Practice address
101 Pleasant St Ste 114
Worcester, MA 01609-3213
Phone
(508) 798-2225
NPI assigned
Oct 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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 25058 MA Primary

Addresses

Primary practice location

101 Pleasant St Ste 114
Worcester, MA 01609-3213

Mailing address

415 Neponset Ave
Dorchester, MA 02122-3168
Phone (774) 218-5585

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Shrewsbury

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210903001975 MA Practitioner - Physical Therapist in Private Practice 1557767266 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25058MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comeback Physical Therapy, Inc. Physical Therapist CurrentSince Jun 1, 2021 Accepting new patients

Locations

415 Neponset Ave
Ste 2B
Dorchester, MA 02122
Phone (617) 287-2225

966 Park St
Ste A2
Stoughton, MA 02072
Phone (781) 341-1000

101 Pleasant St
Ste 114
Worcester, MA 01609
Phone (508) 798-2225

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": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1437758166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 NEPONSET AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021223168",
            "telephone_number": "774-218-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PLEASANT ST STE 114",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016093213",
            "telephone_number": "508-798-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'KEEFE",
        "first_name": "LAURYN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-23",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "25058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Shrewsbury",
            "affiliation": "N",
            "address_1": "579 Grafton St",
            "city": "Shrewsbury",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015454016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.