Darrell Aaron Keeney, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

60670364 Issued in WA

Practice address

17833 1St Ave S Ste a
Normandy Park, WA 98148-1713

Phone

(253) 330-8518

NPI assigned

Dec 28, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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.

• Kintsugi Physical Therapy

  • Physical Therapist
  • Normandy Park, WA
  • NPI 1598300824
  NPD

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

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1477069490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 S BONITO WAY STE 190",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425618",
            "telephone_number": "208-287-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17833 1ST AVE S STE A",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981481713",
            "telephone_number": "253-330-8518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22659 Pacific Hwy S",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "WA",
            "postal_code": "981985155",
            "country_code": "US",
            "telephone_number": "206-824-3668",
            "fax_number": "206-824-3964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEENEY",
        "first_name": "DARRELL",
        "middle_name": "AARON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-28",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60670364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Slightam MD Inc.
• John Slightam MD Inc.
• Sidney Johnson
• Kalila Griffin Therapy PLLC
• Dean Kamplaine
• Sarah Elizabeth Kier, MA, LMFTA
• Christy Lee Kimpo, PHD, LMHC
• Natalie Susan King, EAMP
• Kintsugi Physical Therapy
• Anthony W Kiriluk, MD

• Physical Therapist in Normandy Park, WA
• Providers in Normandy Park, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.