Individual provider Active NPI

Philip Thomas Keating, P.T.

  • Physical Therapist
  • Rockaway, NJ
National Provider Identifier
1831152172
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
017422 Issued in NY
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

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Other URL WEBPT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221013001787 NY Practitioner - Physical Therapist in Private Practice 1850767013 Reassigns benefits to 2 organizations

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
Hudson in Home Physical Therapy PLLCGroup PAC ID 1153584305, 18 clinicians

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

LicenseStateTypeSpecialty
017422NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stern at Home Physical Therapy PC Physical Therapist CurrentSince Sep 20, 2022 Accepting new patients
Hudson in Home Physical Therapy PLLC Physical Therapist CurrentSince Sep 12, 2022 Accepting new patients
Hudson in Home Physical Therapy and Occupational Therapy PLLC Physical Therapist CurrentSince Sep 12, 2022 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.

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.

Verify at the official NPI Registry.