Active NPI
Michele Keough
- Physical Therapist
- Wilmington, DE
National Provider Identifier
1669707527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 3911 N Washington St
Wilmington, DE 19802-2147 - Phone
- (302) 764-8192
- Fax
- (302) 764-8185
- NPI assigned
- Oct 12, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
3911 N Washington St
Wilmington, DE 19802-2147
Mailing address
2 W 10TH St
Marcus Hook, PA 19061-4513
Phone (610) 859-8850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Ergonomics and Wellness | Current | Accepting new patients | |
| Dynamic Therapy Services of Pennsylvania LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Newark, DE
- NPI 1871348821
-
- Physical Therapist
- Aston, PA
- NPI 1346477981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255305600000",
"number": "1669707527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 W 10TH ST",
"city": "MARCUS HOOK",
"state": "PA",
"postal_code": "190614513",
"telephone_number": "610-859-8850",
"fax_number": "610-859-7876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3911 N WASHINGTON ST",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198022147",
"telephone_number": "302-764-8192",
"fax_number": "302-764-8185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEOUGH",
"first_name": "MICHELE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-12",
"last_updated": "2009-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.