Keen Mobility Company

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1167255-2 Issued in OR

Legal business name

KEEN MOBILITY COMPANY

Practice address

733 SW Oak St
Suite 200
Portland, OR 97205-3712

Phone

(503) 285-9090

Fax

(503) 223-9488

NPI assigned

Jul 7, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jerry Carleton

Title

VP Business Development

Phone

(503) 285-9090

Specialties & licenses 8

Addresses

Other identifiers 2

Tax ID family

Keen Mobility Company3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Keen Mobility Company

  dba Keen Motion

  • Physical Therapist
  • Portland, OR
  • NPI 1205167210
  NPD tax ID
• Keen Mobility Company

  dba Keen Home Medical

  • Durable Medical Equipment & Medical Supplies
  • Milwaukie, OR
  • NPI 1558741173
  NPD tax ID

Locations

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679571384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 SW OAK ST",
            "address_2": "SUITE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972053712",
            "telephone_number": "503-285-9090",
            "fax_number": "503-223-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 SW OAK ST",
            "address_2": "SUITE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972053712",
            "telephone_number": "503-285-9090",
            "fax_number": "503-223-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEEN MOBILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARLETON",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "VP BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "503-285-9090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OR",
            "license": "1167255-2",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "IMP 143710",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": "MFG.UT.0001566.OR",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WV",
            "license": "UT1566 WV FILE#1968",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "14418",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "321",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": "UT-1566-OR-O",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "UT",
            "license": "UT 1566 (OR)",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "233141",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9055716",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johannah Leigh Keeley, BA
• Stephen Keeley, M.S., LPC
• Matthew James Keelin, ARNP
• Linda Keeling
• Keen Mobility Company (Keen Motion)
• Nicholas W Keen, MA
• Elizabeth Keenan
• Jack Keenan
• Steven Martin Keenan, QMHP
• Anna Marie Keene, CRM

• Durable Medical Equipment & Medical Supplies in Portland, OR
• Providers in Portland, OR by specialty
• Durable Medical Equipment & Medical Supplies in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.