NPIMap

Organization Active NPI

Joe Keeney Physical Therapy, Inc.

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1649523077
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1554 Issued in OR
Legal business name
JOE KEENEY PHYSICAL THERAPY, INC.
Practice address
7721 SW 34TH at Capitol Highway
Portland, OR 97219-1725
Phone
(503) 452-7767
Fax
(503) 452-7766
NPI assigned
Oct 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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

Authorized official

Name
Joseph H. Kenney, PT
Title
Owner
Phone
(503) 452-7767

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 1554 OR Primary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X 529339 OR

Addresses

Primary practice location

7721 SW 34TH at Capitol Highway
Portland, OR 97219-1725

Mailing address

7721 SW 34TH at Capitol Highway
Portland, OR 97219-1725
Phone (503) 452-7767

National Provider Directory

National Provider Directory

Locations

7721 SW 34th Ave
Portland, OR 97219
Phone (503) 452-7767

Practitioners & affiliated clinicians

Practitioners 6

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": "1350950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1649523077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7721 SW 34TH AT CAPITOL HIGHWAY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972191725",
            "telephone_number": "503-452-7767",
            "fax_number": "503-452-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7721 SW 34TH AT CAPITOL HIGHWAY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972191725",
            "telephone_number": "503-452-7767",
            "fax_number": "503-452-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOE KEENEY PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-23",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "KENNEY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-452-7767",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "1554",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "529339",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.