Keefe Lynch, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4111 Issued in HI

Practice address

1851 Jadwin Ave Apt 307
Richland, WA 99354-2525

Phone

(541) 848-0249

NPI assigned

Aug 7, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Orthosport Physical Therapy

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Honolulu, HI
  • NPI 1811585524
  NPD

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1447636816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5722 KALANIANAOLE HWY",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968212388",
            "telephone_number": "808-373-3555",
            "fax_number": "808-373-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 JADWIN AVE APT 307",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993542525",
            "telephone_number": "541-848-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "KEEFE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-07",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT4111",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1263986",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Mae Lusch, RN
• Lustig Health & Wellness Center
• Desirae Lyall, PT
• Lycan Counseling, PLLC
• Kimberly Lycan, LMHC
• Melissa Machowicz
• Ivi Macias, CBT
• Kelly Mackey
• Jenni Merrill Mackley, COTA/L
• Nathan Phillip Madder, D.M.D.

• Physical Therapist in Richland, WA
• Providers in Richland, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.