Individual provider Active NPI

Nancy Sue Keness, P.T.

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1780845750
Registry record updated Jun 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0034681 Issued in NY
Practice address
362 9TH St
Brooklyn, NY 11215-4008
Phone
(718) 768-7501
Fax
(718) 768-7502
NPI assigned
Jun 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0034681 NY Primary

Addresses

Primary practice location

362 9TH St
Brooklyn, NY 11215-4008

Mailing address

362 9TH St
Brooklyn, NY 11215-4008
Phone (718) 768-7501

Other identifiers 1

IdentifierTypeStateIssuer
0034681OtherNYNY STATE LICENSE

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

LicenseStateTypeSpecialty
0034681NYMDPhysical Therapist
003468NYMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Outreach Physical and Occupational Therapy & Speech Rehabilitation, PLLC Physical Therapist PastSince Oct 16, 2009 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.

NPI Registry JSON

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

{
    "created_epoch": "1214092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214092800000",
    "number": "1780845750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154008",
            "telephone_number": "718-768-7501",
            "fax_number": "718-768-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154008",
            "telephone_number": "718-768-7501",
            "fax_number": "718-768-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENESS",
        "first_name": "NANCY",
        "middle_name": "SUE",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-22",
        "last_updated": "2008-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0034681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE LICENSE",
            "identifier": "0034681",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2008; 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.