Organization Active NPI

Keneally Physical Therapy & Holistic Healing

  • Physical Therapy Clinic/Center
  • Bonita Springs, FL
National Provider Identifier
1639887136
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
KENEALLY PHYSICAL THERAPY & HOLISTIC HEALING
Practice address
24850 Burnt Pine Dr Ste 3
Bonita Springs, FL 34134-0905
Phone
(781) 883-0190
NPI assigned
Nov 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Authorized official

Name
Allison Keneally, PTNPI 1831266774
Title
Owner/PT
Phone
(781) 883-0190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

24850 Burnt Pine Dr Ste 3
Bonita Springs, FL 34134-0905

Mailing address

14446 Pine Hollow Dr
Estero, FL 33928-9157
Phone (781) 883-0190

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1639887136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14446 PINE HOLLOW DR",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339289157",
            "telephone_number": "781-883-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24850 BURNT PINE DR STE 3",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341340905",
            "telephone_number": "781-883-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENEALLY PHYSICAL THERAPY & HOLISTIC HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "KENEALLY",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "OWNER/PT",
        "authorized_official_telephone_number": "781-883-0190",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.