Active NPI
Wendy Keenan, PT
- Physical Therapist
- Dallas, TX
National Provider Identifier
1740641026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1195993
- Practice address
- 10926 Lubbock Dr
Dallas, TX 75238-3736 - Phone
- (915) 873-0862
- NPI assigned
- Mar 14, 2016
- 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 | 1195993 | TX | Primary |
Addresses
Primary practice location
10926 Lubbock Dr
Dallas, TX 75238-3736
Mailing address
10926 Lubbock Dr
Dallas, TX 75238-3736
Phone (915) 873-0862
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1195993 | TX | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas K. Waugh & Associates, P.C. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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 Therapist
- El Paso, TX
- NPI 1407956642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675641600000",
"number": "1740641026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10926 LUBBOCK DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752383736",
"telephone_number": "915-873-0862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10926 LUBBOCK DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752383736",
"telephone_number": "915-873-0862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEENAN",
"first_name": "WENDY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-14",
"last_updated": "2023-02-06",
"certification_date": "2023-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1195993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.