Alyssa Keeney-Roe, PT, MS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

34123 Issued in CA

Practice address

165 N Redwood Dr
Suite 120
San Rafael, CA 94903-1969

Phone

(415) 499-0278

NPI assigned

May 22, 2008

Last updated

Feb 26, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peltz and Associates Physical Therapy IncGroup PAC ID 6002819075, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Peltz and Associates Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Santa Rosa, CA
  • NPI 1356389001

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Agile Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Palo Alto, CA
  • NPI 1659445443
  NPD (past)
• Golden Gate Physical Therapy

  • Physical Therapy Clinic/Center
  • San Francisco, CA
  • NPI 1700816691

  Physical Therapist

  NPD (past)
• Marin Physical Therapy, Inc.

  • Specialist
  • San Rafael, CA
  • NPI 1275658148
  NPD (past)
• San Francisco Sport & Spine Physical Therapy

  • Physical Therapist
  • San Francisco, CA
  • NPI 1508945833
  NPD (past)

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235606400000",
    "number": "1639336928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DANIEL BURNHAM CT",
            "address_2": "SUITE 325C",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095455",
            "telephone_number": "415-776-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 N REDWOOD DR",
            "address_2": "SUITE 120",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031969",
            "telephone_number": "415-499-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENEY-ROE",
        "first_name": "ALYSSA",
        "credential": "PT, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2009-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "34123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jatindur Kaur, RN
• Sarah Kay
• Terry Martin Keady
• Dominique Keane-Cawrse
• Suraya Susana Keating, MFT
• Kimberlie Keller, DO
• Robert W. Keller
• Valerie Irene Keller, MFTI
• Christopher Lyle Ivan Kellogg, MA
• Andrew Edward Kelly, P.T.

• Physical Therapist in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; 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.

Verify at the official NPI Registry.