Keka Services, Inc

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

Legal business name

KEKA SERVICES, INC

Practice address

1242 River St
Hyde Park, MA 02136-2833

Phone

(978) 390-6996

Fax

(617) 272-3952

NPI assigned

Apr 28, 2023

Organization subpart

No

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

Authorized official

Name

Kennedy Ndamba, DPTNPI 1518430651

Title

Physical Therapist

Phone

(978) 390-6996

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kennedy Ndamba, DPT

  • Geriatric Physical Therapist
  • Hyde Park, MA
  • NPI 1518430651

  Geriatrics

  Medicare reassignment NPD Authorized official
• Emily Boyko

  • Physical Therapist
  • Belmont, MA
  • NPI 1760089924
  Medicare reassignment NPD
• Jeannie Tso

  • Occupational Therapist
  • Wakefield, MA
  • NPI 1518469014
  Medicare reassignment NPD
• Pamela Desjardins, PT

  • Physical Therapist
  • Salem, NH
  • NPI 1104234988

  MA

  Medicare reassignment NPD

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1790473528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1242 RIVER ST",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021362833",
            "telephone_number": "978-390-6996",
            "fax_number": "617-272-3952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1242 RIVER ST",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021362833",
            "telephone_number": "978-390-6996",
            "fax_number": "617-272-3952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEKA SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "NDAMBA",
        "authorized_official_first_name": "KENNEDY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "978-390-6996",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518430651",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nicole S Katz
• Ravi Kavasery, M.D.
• David Paul Kennedy
• Lily Keohane
• Shawn Seonghoon Kim, D.D.S.
• King Capital Inc (Royal Care)
• Maria King-Bynoe

• Geriatric Physical Therapist in Hyde Park, MA
• Providers in Hyde Park, MA by specialty
• Geriatric Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.