Susan Keane, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

015259-1 Issued in NY

Practice address

91 Foster Ave
Sayville, NY 11782-3127

Phone

(631) 563-9621

NPI assigned

Oct 14, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Susan Daly Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1649674078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 FOSTER AVE",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117823127",
            "telephone_number": "631-563-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 FOSTER AVE",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117823127",
            "telephone_number": "631-563-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEANE",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "015259-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "DALY",
            "prefix": "MS.",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Just
• Mary Alice Kacinski, R.N.
• Georgios Katsamanis, RPH
• Kelly Christina Kavanagh, LMSW
• Yumiko Kawakami, PT
• Keith Golka Physical Therapy
• Michele A Kelly
• Brent Thomas Kempf, DPM
• Cort Chedwin Kennedy II, MD
• Brittany Khan

• Physical Therapist in Sayville, NY
• Providers in Sayville, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.