Lucretia Keating, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

17648 Issued in MD

Practice address

22 W Padonia Rd
Suite 132
Lutherville Timonium, MD 21093-2226

Phone

(410) 560-5944

Fax

(410) 560-6944

NPI assigned

Jun 9, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dominion Physical Therapy LLCGroup PAC ID 1951346196, 3 clinicians

Practice addresses (Care Compare)

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.

• Dominion Physical Therapy LLC

  • Orthopedic Physical Therapist
  • Timonium, MD
  • NPI 1316085533
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1457392771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 W.PADONIA ROAD",
            "address_2": "SUITE C132",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932238",
            "telephone_number": "410-560-5944",
            "fax_number": "410-560-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W PADONIA RD",
            "address_2": "SUITE 132",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210932226",
            "telephone_number": "410-560-5944",
            "fax_number": "410-560-6944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATING",
        "first_name": "LUCRETIA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "17648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD #",
            "identifier": "532298",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Marie Julio
• Just at Home LLC
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
• Karolyn W. Seidl, Psy.D., LLC
• Sajeev S Kathuria, MD
• Tam Lynne Kelley
• Mollye Kellman, LCSW-C
• Mary Catherine Kelly, CRNP
• Hailey Lape Kerschner, LCSW-C
• Autumn Cassidy Kidd, PT, DPT

• Physical Therapist in Lutherville Timonium, MD
• Providers in Lutherville Timonium, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.