Lauren Wood Keddie, PT, DPT, AIB-CON

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT021397 Issued in PA

Practice address

2265 Market Street
Suite a
Warren, PA 16365-4682

Phone

(814) 726-9050

Fax

(814) 726-9629

NPI assigned

Aug 1, 2013

Last updated

Dec 2, 2021By 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

Other names 1

• Lauren Elizabeth Keddie Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1881026862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 MARKET STREET",
            "address_2": "SUITE A",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163654682",
            "telephone_number": "814-726-9050",
            "fax_number": "814-726-9629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 MARKET STREET",
            "address_2": "SUITE A",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163654682",
            "telephone_number": "814-726-9050",
            "fax_number": "814-726-9629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEDDIE",
        "first_name": "LAUREN",
        "middle_name": "WOOD",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT,  AIB-CON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT021397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102895494",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "KEDDIE",
            "middle_name": "ELIZABETH",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physical Therapist in Warren, PA
• Providers in Warren, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.