Individual provider Active NPI

Allison Randall Keeney, DPT

  • Physical Therapist
  • Lexington, KY
National Provider Identifier
1780161752
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
007891 Issued in KY
Practice address
4101 Tates Creek Centre Dr Ste 144
Lexington, KY 40517-3068
Phone
(859) 271-2887
NPI assigned
Jul 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 295028 CA
Physical Therapist 225100000X 007891 KY Primary

Addresses

Primary practice location

4101 Tates Creek Centre Dr Ste 144
Lexington, KY 40517-3068

Mailing address

4101 Tates Creek Centre Dr Ste 144
Lexington, KY 40517-3068
Phone (859) 271-2887

Other practice location 1

990 Riley St
Folsom, CA 95630-3064
Phone (916) 355-1250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240604001306 KY Practitioner - Physical Therapist in Private Practice 8820340763 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky Physical Therapy Services of Lexington LLCGroup PAC ID 4981143336, 2 clinicians

Practice addresses (Care Compare)

1005 Tanbark Rd
Apt 217
Lexington, KY 40515-1894
Phone (859) 544-5282

3051 Rio Dosa Dr
Lexington, KY 40509-1545
Phone (859) 381-7376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
295028CAMDPhysical Therapist
007891KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Physical Therapy Services of Lexington LLC Physical Therapist CurrentSince Apr 26, 2024 Accepting new patients
Kentucky Physical Therapy Services at Richmond Place LLC Physical Therapist CurrentSince Mar 16, 2024 Accepting new patients
Arc Therapy Services, LLC PastSince Apr 26, 2024 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1780161752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 TATES CREEK CENTRE DR STE 144",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405173068",
            "telephone_number": "859-271-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 TATES CREEK CENTRE DR STE 144",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405173068",
            "telephone_number": "859-271-2887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "990 Riley St",
            "address_purpose": "LOCATION",
            "city": "Folsom",
            "state": "CA",
            "postal_code": "956303064",
            "country_code": "US",
            "telephone_number": "916-355-1250",
            "fax_number": "916-933-0871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEENEY",
        "first_name": "ALLISON",
        "middle_name": "RANDALL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "295028",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.