Amy Carlisle Keating, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0087744 Issued in GA

Practice address

930 Woodstock Rd Ste 310
Roswell, GA 30075-2220

Phone

(770) 998-6636

Fax

(770) 998-6646

NPI assigned

Nov 7, 2006

Last updated

Aug 22, 2024By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

A Step Ahead Physical Therapy, LLCGroup PAC ID 0941399968, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A Step Ahead Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Roswell, GA
  • NPI 1194875500
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1811066574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 WOODSTOCK RD STE 310",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752220",
            "telephone_number": "770-998-6636",
            "fax_number": "770-998-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 WOODSTOCK RD STE 310",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752220",
            "telephone_number": "770-998-6636",
            "fax_number": "770-998-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATING",
        "first_name": "AMY",
        "middle_name": "CARLISLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT0087744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LISC NUMBER",
            "identifier": "PT0087744",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Katsorelos, OT
• Richard Kaufman, D.P.M.
• Lauren Kavanaugh
• Kelly Kaylor, COTA
• Paige Kearley, OTR/L
• Betul Kececi, FNP
• Angela Keel, RN
• Benjamin Houston Keeling, MSOT
• Alexa Keener
• Jake Keepers

• Physical Therapist in Roswell, GA
• Providers in Roswell, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.