Individual provider Active NPI

Jacklyn Keane, DPT, PT

  • Physical Therapist
  • Framingham, MA
National Provider Identifier
1841081916
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL81018 Issued in MA
Practice address
20 Speen St Ste 101
Framingham, MA 01701-4174
Phone
(781) 757-1114
NPI assigned
May 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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 PTL81018 MA Primary

Addresses

Primary practice location

20 Speen St Ste 101
Framingham, MA 01701-4174

Mailing address

77 Fenwick St
Framingham, MA 01701-4029
Phone (508) 782-0171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250605000772 MA Practitioner - Physical Medicine and Rehabilitation 3971012477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thelos PT LLCGroup PAC ID 2062937311, 7 clinicians

Practice addresses (Care Compare)

20 Speen St
Suite 101
Framingham, MA 01701-4174
Phone (781) 757-1114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL81018MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thelos PT LLC Physical Therapist CurrentSince May 20, 2025 Accepting new patients

Locations

20 Speen St
Ste 101
Framingham, MA 01701
Phone (781) 757-1114

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": "1747353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1841081916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 FENWICK ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017014029",
            "telephone_number": "508-782-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SPEEN ST STE 101",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017014174",
            "telephone_number": "781-757-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEANE",
        "first_name": "JACKLYN",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL81018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.