Jennifer Kean, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

26908 Independence Way
Evans Mills, NY 13637-3300

Phone

(315) 629-6255

Fax

(315) 629-6254

NPI assigned

Aug 29, 2017

Last updated

Aug 29, 2017By 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 NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sports Physical Therapy of New York, P.C.Group PAC ID 4284531674, 83 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Sports Physical Therapy of New York, P.C.

  • Physical Therapist
  • Manlius, NY
  • NPI 1912950072
  Medicare reassignment Care Compare group NPD
• Northern Physical Therapy, LLC

  • Physical Therapist
  • Ogdensburg, NY
  • NPI 1174624969
  Medicare reassignment NPD
• Northern Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Ogdensburg, NY
  • NPI 1609297746
  NPD (past)

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503964800000",
    "number": "1649797788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26908 INDEPENDENCE WAY",
            "city": "EVANS MILLS",
            "state": "NY",
            "postal_code": "136373300",
            "telephone_number": "315-629-6255",
            "fax_number": "315-629-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26908 INDEPENDENCE WAY",
            "city": "EVANS MILLS",
            "state": "NY",
            "postal_code": "136373300",
            "telephone_number": "315-629-6255",
            "fax_number": "315-629-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEAN",
        "first_name": "JENNIFER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2017-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Henry
• Jaresha Leiko Hill
• Indian River Central School
• Jordan L Jacobs, M.A. CCC-SLP
• Melissa Sue Jordal, LMT
• Jennifer Joyce Kerley, RPH
• Elizabeth Kinney
• Jennifer Lachenauer, CASAC
• Caitlin Lally, RBT
• Jennifer Leamer

• Physical Therapist in Evans Mills, NY
• Providers in Evans Mills, 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 Aug 29, 2017; 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.