Keith P Larkin, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

016311-1 Issued in NY

Practice address

77 Veterans Memorial Hwy
Suite 5
Commack, NY 11725-3410

Phone

(631) 499-4344

Fax

(631) 499-4383

NPI assigned

Jan 28, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pediatric Physical Therapy Associates of Western Suffolk, P.C.

  • Early Intervention Provider Agency
  • Commack, NY
  • NPI 1659549160
  NPD (past)

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

{
    "created_epoch": "1169942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1568518769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 BAYPORT AVE",
            "city": "BAYPORT",
            "state": "NY",
            "postal_code": "117051404",
            "telephone_number": "631-472-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 VETERANS MEMORIAL HWY",
            "address_2": "SUITE 5",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253410",
            "telephone_number": "631-499-4344",
            "fax_number": "631-499-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARKIN",
        "first_name": "KEITH",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-28",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "016311-1",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NY",
            "license": "016311-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Landsberg
• Sarah Patricia Lane
• Shannon Marie Lange, DPT
• Stacey Langer
• Kevin Matthew Laplatney, MS, ATC
• Lauren Miceli Counseling
• Lauren Miceli Counseling, PC
• Lauren Melissa Lavrigata, PSYD, LCMHC
• Robert Michael Lazar, MD
• Alexis Fawn Lazarus, M.A., CCC-SLP

• Physical Therapist in Commack, NY
• Providers in Commack, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.