William J McKeon, P.T., D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00196700 Issued in NJ

Practice address

1 Grover Ter
Fair Lawn, NJ 07410-4506

Phone

(201) 791-0008

Fax

(201) 791-7111

NPI assigned

May 29, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1902031339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 CONCORD ST",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076461008",
            "telephone_number": "201-244-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GROVER TER",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074104506",
            "telephone_number": "201-791-0008",
            "fax_number": "201-791-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEON",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-29",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00196700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Jennifer McCollum
• John C McConnell, M.D.
• Cheryl McCutchen, LSW, LCADC
• Megan Elizabeth McDermott, PT, DPT
• Chaye McIntosh, MS, LCADC
• Cortney Tatiana McKinney
• Nicole McQuillen, LCSW
• Prasad Medepalli
• Medical Associates of Englewood, PC (Englewood Health Physician Network)
• Medical Internists Assoc. PA

• Physical Therapist in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.