Active NPI
Philip Thomas Keating, P.T.
- Physical Therapist
- Rockaway, NJ
National Provider Identifier
1831152172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 017422
- Practice address
- 551A W Main St
Rockaway, NJ 07866-3733 - Phone
- (973) 586-2556
- NPI assigned
- Apr 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | |||
| Physical Therapist | 225100000X | 017422 | NY | Primary |
Addresses
Primary practice location
551A W Main St
Rockaway, NJ 07866-3733
Mailing address
29 Apache TRL
Rockaway, NJ 07866-1028
Phone (973) 586-2556
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | WEBPT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Blackstone PL
Bronx, NY 10471-3607
Phone (347) 947-3132
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017422 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stern at Home Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Hudson in Home Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Hudson in Home Physical Therapy and Occupational Therapy PLLC | Physical Therapist | Current | Accepting new patients |
Locations
4 Medical Park Dr
Ste B
Pomona, NY 10970
Phone (845) 354-3131
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.
-
- Physical Therapist
- Bronx, NY
- NPI 1760748735
-
- Physical Medicine & Rehabilitation Physician
- Pomona, NY
- NPI 1720563380
Physical Therapist
-
- Physical Rehabilitation Occupational Therapist
- Bronx, NY
- NPI 1366197758
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666656000000",
"number": "1831152172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 APACHE TRL",
"city": "ROCKAWAY",
"state": "NJ",
"postal_code": "078661028",
"telephone_number": "973-586-2556",
"fax_number": "973-586-9798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "551A W MAIN ST",
"city": "ROCKAWAY",
"state": "NJ",
"postal_code": "078663733",
"telephone_number": "973-586-2556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEATING",
"first_name": "PHILIP",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-08",
"last_updated": "2022-10-25",
"certification_date": "2022-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "017422",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "WEBPT",
"affiliation": "N",
"address_1": "551A W Main St",
"city": "Rockaway",
"state": "NJ",
"country_code": "US",
"postal_code": "078663733",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rockaway, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.