Individual provider Active NPI

Keelin McSweeney

  • Physical Therapist
  • Sutton, MA
National Provider Identifier
1508477993
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25053 Issued in MA
Practice address
64 Worcester Providence Tpke
Sutton, MA 01590-2513
Phone
(508) 861-1010
NPI assigned
Aug 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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 25053 MA Primary

Addresses

Primary practice location

64 Worcester Providence Tpke
Sutton, MA 01590-2513

Mailing address

64 Worcester Providence Tpke
Sutton, MA 01590-2513
Phone (774) 275-0891

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200819002407 MA Practitioner - Physical Therapist in Private Practice 5597181636 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay State Physical Therapy of Randolph IncGroup PAC ID 6305744251, 451 clinicians

Practice addresses (Care Compare)

30 Glennie St
Worcester, MA 01605-3924
Phone (508) 791-8740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Concierge Physical Therapy, Inc. CurrentSince Aug 7, 2020 Accepting new patients

Locations

307 Grafton St
Ste 103
Shrewsbury, MA 01545
Phone (508) 841-5037

64 Worcester Providence Tpke
Sutton, MA 01590
Phone (508) 861-1010

211 Worcester Providence Tpke
#T
Sutton, MA 01590

Organizations & group practices 2

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": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1508477993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 WORCESTER PROVIDENCE TPKE",
            "city": "SUTTON",
            "state": "MA",
            "postal_code": "015902513",
            "telephone_number": "774-275-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 WORCESTER PROVIDENCE TPKE",
            "city": "SUTTON",
            "state": "MA",
            "postal_code": "015902513",
            "telephone_number": "508-861-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCSWEENEY",
        "first_name": "KEELIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "25053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sutton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.