Individual provider Active NPI

Sarah Raciti Keenan, DPT

  • Physical Therapist
  • Baltimore, MD
National Provider Identifier
1609548528
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28410 Issued in MD
Practice address
31 Walker Ave
Baltimore, MD 21208-4022
Phone
(410) 415-3515
Fax
(443) 459-9550
NPI assigned
Sep 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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 28410 MD Primary

Addresses

Primary practice location

31 Walker Ave
Baltimore, MD 21208-4022

Mailing address

617 S Ellwood Ave
Baltimore, MD 21224-3922

Other practice location 1

6300 Smith Ave
Baltimore, MD 21209-2714
Phone (443) 548-7700

Other practice location 2

6300 Park Heights Ave
Baltimore, MD 21215-2906
Phone (443) 524-3200

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

LicenseStateTypeSpecialty
28410MDMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1609548528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 S ELLWOOD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 WALKER AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212084022",
            "telephone_number": "410-415-3515",
            "fax_number": "443-459-9550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6300 Smith Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212092714",
            "country_code": "US",
            "telephone_number": "443-548-7700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6300 Park Heights Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212152906",
            "country_code": "US",
            "telephone_number": "443-524-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEENAN",
        "first_name": "SARAH",
        "middle_name": "RACITI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-29",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.