Individual provider Active NPI

Ellen S. O'Keefe, PT

  • Physical Therapist
  • Richmond, VA
National Provider Identifier
1922244946
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305004844 Issued in VA
Practice address
1717 Bellevue Ave
Richmond, VA 23227-3961
Phone
(804) 401-0405
NPI assigned
Dec 22, 2008
Last updated
Jun 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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 2305004844 VA Primary

Addresses

Primary practice location

1717 Bellevue Ave
Richmond, VA 23227-3961

Mailing address

8097 Crown Colony Pkwy
Mechanicsville, VA 23116-3965

Other practice location 1

8906 W Broad St
Ste F
Richmond, VA 23294-5827
Phone (804) 965-9990

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180815001608 VA Practitioner - Physical Therapist in Private Practice 0345599965 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrate Physical Therapy Solutions Physical Therapist Current Accepting new patients
Performance Physical Therapy and Sports Training, LLC Physical Therapist CurrentSince Feb 15, 2025 Accepting new patients

Locations

5317 Lakeside Ave
Ste A
Henrico, VA 23228
Phone (804) 303-4961

9130 Dickey Dr
Mechanicsvlle, VA 23116
Phone (804) 723-5940

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1922244946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8097 CROWN COLONY PKWY",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231163965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 BELLEVUE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232273961",
            "telephone_number": "804-401-0405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8906 W Broad St",
            "address_2": "Ste F",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232945827",
            "country_code": "US",
            "telephone_number": "804-965-9990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'KEEFE",
        "first_name": "ELLEN",
        "middle_name": "S.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-22",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305004844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.