Active NPI
Brendan James Christopher Keena, PT, DPT
- Physical Therapist
- Dunkirk, MD
National Provider Identifier
1558777219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25030
- Practice address
- 2987 Plaza Dr
Dunkirk, MD 20754-2735 - Phone
- (443) 964-6348
- Fax
- (443) 964-6359
- NPI assigned
- Jul 2, 2014
- Last updated
- Jul 8, 2019
- Sex
- Male
- 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 | 25030 | MD | Primary |
Addresses
Primary practice location
2987 Plaza Dr
Dunkirk, MD 20754-2735
Mailing address
100 Hospital Rd
Prince Frederick, MD 20678-4017
Phone (443) 964-6348
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562544000000",
"number": "1558777219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HOSPITAL RD",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "206784017",
"telephone_number": "443-964-6348",
"fax_number": "443-964-6359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2987 PLAZA DR",
"city": "DUNKIRK",
"state": "MD",
"postal_code": "207542735",
"telephone_number": "443-964-6348",
"fax_number": "443-964-6359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEENA",
"first_name": "BRENDAN",
"middle_name": "JAMES CHRISTOPHER",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-02",
"last_updated": "2019-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "25030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dunkirk, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.