Active NPI
Shauna Marie Keeley, DPT
- Orthopedic Physical Therapist
- Port Angeles, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT 60222507
- Practice address
- 321 N Chambers St
Port Angeles, WA 98362-3919 - Phone
- (360) 417-7728
- NPI assigned
- Jan 21, 2014
- Last updated
- Jan 21, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 60222507 | WA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellingham Physical Therapy, PLLC | Current | Accepting new patients | |
| Kitsap Physical Therapy and Sports Clinic PS Inc | Orthopedic | Current | Accepting new patients |
| Kitsap Physical Therapy and Sports Clinic PS Inc | Current | 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.
-
- Physical Therapist
- Bellingham, WA
- NPI 1023016102
-
- Physical Therapist
- Silverdale, WA
- NPI 1912902347
-
- Durable Medical Equipment & Medical Supplies
- Kingston, WA
- NPI 1700466083
Orthopedic
-
dba Olympic Medical Home Health
- Home Health Agency
- Port Angeles, WA
- NPI 1437259165
-
- Physical Therapy Clinic/Center
- Port Angeles, WA
- NPI 1295009207
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.