Amanda Keegan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00582 Issued in RI

Practice address

One Garnett Lane
Northern Ri Physical Therapy
Greenville, RI 02828-1414

Phone

(401) 949-0380

Fax

(401) 949-5581

NPI assigned

Jun 3, 2006

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

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Connecticut School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bay State Physical Therapy PCGroup PAC ID 6305176850, 37 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Bay State Physical Therapy PC

  • Physical Therapist
  • Attleboro, MA
  • NPI 1194387191

  RI

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1700824414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE GARNETT LANE",
            "address_2": "NORTHERN RI PHYSICAL THERAPY",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "028281414",
            "telephone_number": "401-949-0380",
            "fax_number": "401-949-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE GARNETT LANE",
            "address_2": "NORTHERN RI PHYSICAL THERAPY",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "028281414",
            "telephone_number": "401-949-0380",
            "fax_number": "401-949-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEGAN",
        "first_name": "AMANDA",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2011-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT00582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD PIN",
            "identifier": "26679",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI BLUE CROSS",
            "identifier": "75277",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD PIN GROUP",
            "identifier": "8225",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "402508",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH OF NEW ENGL",
            "identifier": "6400148",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "050456866",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Jo-Ane Jaquith, MA, LBA, BCBA
• Jean Resnevic, DMD, LLC
• David Jennings, O.D.
• Noelle Johnston
• Julia Kach
• Ellen A Kellner, MSSW
• Rayne Kennelly, NPP
• Gary G King, DO
• Allison Kinoian, M.A, BCBA, LBA
• Scott B. Klimaj, D.M.D.

• Physical Therapist in Greenville, RI
• Providers in Greenville, RI by specialty
• Physical Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.