Active NPI
Joann Maureen Keenan, PTA
- Developmental Therapist
- Clifton Heights, PA
National Provider Identifier
1972887602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- TE006612
- Practice address
- 229 W Baltimore Ave
Clifton Heights, PA 19018-1406 - Phone
- (610) 506-4403
- NPI assigned
- Sep 29, 2011
- Last updated
- Sep 29, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | TE006612 | PA | Primary |
Addresses
Primary practice location
229 W Baltimore Ave
Clifton Heights, PA 19018-1406
Mailing address
229 W Baltimore Ave
Clifton Heights, PA 19018-1406
Phone (610) 506-4403
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TE006612 | PA | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317254400000",
"number": "1972887602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 W BALTIMORE AVE",
"city": "CLIFTON HEIGHTS",
"state": "PA",
"postal_code": "190181406",
"telephone_number": "610-506-4403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 W BALTIMORE AVE",
"city": "CLIFTON HEIGHTS",
"state": "PA",
"postal_code": "190181406",
"telephone_number": "610-506-4403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEENAN",
"first_name": "JOANN",
"middle_name": "MAUREEN",
"name_prefix": "Ms.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-29",
"last_updated": "2011-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "PA",
"license": "TE006612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clifton Heights, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.