Active NPI
Keelin McSweeney
- Physical Therapist
- Sutton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25053
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concierge Physical Therapy, Inc. | Current | 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.