Active NPI
Dawn Lee Keller, PTA
- Physical Therapy Assistant
- Fall River, MA
National Provider Identifier
1598144990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2376
- Practice address
- 1 Father Devalles Blvd
Suite 401
Fall River, MA 02723-1511 - Phone
- (508) 673-5500
- NPI assigned
- May 19, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2376 | MA | Primary |
| Physical Therapy Assistant | 225200000X | PA2545 | ME |
Addresses
Primary practice location
1 Father Devalles Blvd
Suite 401
Fall River, MA 02723-1511
Mailing address
4 Traip Ave
Kittery, ME 03904-1716
Phone (207) 475-8034
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2376 | MA | MD | Chiropractor |
| PA2545 | ME | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athena Nursing Placement Joint Venture, LLC | Past | Accepting new patients | |
| Rehab New England PC | Past | Accepting new patients |
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.
-
- Home Health Agency
- Lakeville, MA
- NPI 1861662017
-
- Rehabilitation Clinic/Center
- Cumberland, RI
- NPI 1639151202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431993600000",
"number": "1598144990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 TRAIP AVE",
"city": "KITTERY",
"state": "ME",
"postal_code": "039041716",
"telephone_number": "207-475-8034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 FATHER DEVALLES BLVD",
"address_2": "SUITE 401",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027231511",
"telephone_number": "508-673-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "DAWN",
"middle_name": "LEE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-19",
"last_updated": "2015-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MA",
"license": "2376",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "ME",
"license": "PA2545",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.