Individual provider Active NPI

Shauna Marie Keeley, DPT

  • Orthopedic Physical Therapist
  • Port Angeles, WA
National Provider Identifier
1972926350
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT 60222507 Issued in WA
Practice address
321 N Chambers St
Port Angeles, WA 98362-3919
Phone
(360) 417-7728
NPI assigned
Jan 21, 2014
Last updated
Jan 21, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT 60222507 WA Primary

Addresses

Primary practice location

321 N Chambers St
Port Angeles, WA 98362-3919

Mailing address

720 W 4TH St
Port Angeles, WA 98363-2246
Phone (414) 248-5129

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240408000771 WA Practitioner - Physical Therapist in Private Practice 2264750330 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 60222507WAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bellingham Physical Therapy, PLLC CurrentSince Mar 18, 2024 Accepting new patients
Kitsap Physical Therapy and Sports Clinic PS Inc Orthopedic CurrentSince Mar 17, 2025 Accepting new patients
Kitsap Physical Therapy and Sports Clinic PS Inc CurrentSince Mar 17, 2025 Accepting new patients
Olympic Medical Center Past Accepting new patients
Clallam County Public Hospital District 2 Past Accepting new patients

Locations

306 36th St
Bellingham, WA 98225
Phone (360) 647-0444

1880 Pottery Ave
Ste 100
Port Orchard, WA 98366
Phone (360) 859-9090

2400 NW Myhre Rd
Ste 101
Silverdale, WA 98383
Phone (360) 598-3764

2400 NW Myhre Rd
Ste 102
Silverdale, WA 98383
Phone (360) 598-3764

Organizations & group practices 5

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": "1390262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390262400000",
    "number": "1972926350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 W 4TH ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983632246",
            "telephone_number": "414-248-5129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N CHAMBERS ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983623919",
            "telephone_number": "360-417-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEELEY",
        "first_name": "SHAUNA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-21",
        "last_updated": "2014-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT 60222507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Angeles, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; 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.