NPIMap

Organization Active NPI

Keneally Physical Therapy, LLC

Doing business as Keneally Physical Therapy

  • Physical Therapist
  • Hopkinton, MA
National Provider Identifier
1871791822
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11473 Issued in MA
Legal business name
KENEALLY PHYSICAL THERAPY, LLC
Doing business as
Keneally Physical Therapy
Practice address
77 W Main St
Suite 205
Hopkinton, MA 01748-1684
Phone
(781) 883-0190
Fax
(508) 435-8183
NPI assigned
Jul 10, 2007
Last updated
Jul 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Authorized official

Name
Allison Keneally, P.T.NPI 1831266774
Title
Owner/President
Phone
(781) 883-0190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11473 MA Primary

Addresses

Primary practice location

77 W Main St
Suite 205
Hopkinton, MA 01748-1684

Mailing address

47 Hines Rd
Cumberland, RI 02864-6105
Phone (781) 883-0190

Other identifiers 1

IdentifierTypeStateIssuer
0398314MedicaidMA

Other names 1

  • Keneally Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1871791822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 HINES RD",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028646105",
            "telephone_number": "781-883-0190",
            "fax_number": "508-435-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W MAIN ST",
            "address_2": "SUITE 205",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017481684",
            "telephone_number": "781-883-0190",
            "fax_number": "508-435-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENEALLY PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "KENEALLY",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "781-883-0190",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "11473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0398314",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keneally Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hopkinton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.