MR. PATRICK KELLER (NPI# 1124008404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124008404 |
| Entity Type | Individual |
| Full Name | MR. PATRICK KELLER |
| Credential | PTA |
| Practice Address |
141 Mark Tree Rd Centereach NY 11720-2221 |
| Mailing Address |
236 Frowein Rd Center Moriches NY 11934-2006 |
| Practice Telephone | 6314674235 |
| Practice Fax Number | 6314672655 |
| Mailing Telephone | 6314674235 |
| Mailing Fax Number | 6314672655 |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 006346-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013972520 | Patrick L Keller | Family Medicine | 7000 East Ave, Livermore, CA 94550-9698 | 2006-04-18 |
| 1821558230 | Patrick Raymond Keller | Student in an Organized Health Care Education/Training Program | 601 N. Caroline Street, Jhoc 8152c, Baltimore, MD 21287-0006 | 2019-03-21 |
| 1376795864 | Patrick Keller | Pharmacist | 12101 Shelbyville Rd, Louisville, KY 40243-1044 | 2008-10-16 |
| 1801817499 | Patrick Raymond Keller | Radiology | 725 American Ave, Waukesha, WI 53188-5031 | 2006-07-21 |
| Street Address |
141 MARK TREE RD |
| City | CENTEREACH |
| State | NY |
| Zip Code | 11720-2221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881672087 | Robert Spagnoli | Physical Therapist | 141 Mark Tree Rd, Centereach, NY 11720-2221 | 2006-01-06 |
| 1063991842 | Patrick Cronin | Physical Therapist | 141 Mark Tree Rd, Centereach, NY 11720-2221 | 2018-08-13 |
| 1780187963 | Nicole Vitale | Physical Therapist | 141 Mark Tree Rd, Centereach, NY 11720-2221 | 2018-03-14 |
| 1568709012 | Jessica Spagnoli | Physical Therapist | 141 Mark Tree Rd, Centereach, NY 11720-2221 | 2013-01-03 |
| 1174860621 | Patrick Shanahan | Physical Therapist | 141 Mark Tree Rd, Centereach, NY 11720-2221 | 2013-01-03 |
| 1700122363 | Justin Rizzo | Physical Therapist | 141 Mark Tree Rd, Centereach, NY 11720-2221 | 2012-12-28 |
| 1558611574 | Joanna Efstathiou-dittmar | Physical Therapist | 141 Mark Tree Rd, Centereach, NY 11720-2221 | 2012-09-18 |
| 1679863385 | Karen Beth Wong | Physical Therapist | 141 Mark Tree Rd, Centereach, NY 11720-2221 | 2011-04-14 |
| 1770711822 | Keith T Perrucci | Physical Therapist | 141 Mark Tree Rd, Centereach, NY 11720-2221 | 2009-06-29 |
| 1225008097 | Marilyn Hughes | Physical Therapy Assistant | 141 Mark Tree Rd, Centereach, NY 11720-2221 | 2006-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508409087 | Carolyn Barravecchio | Marriage & Family Therapist | 35 South Kennedy Drive, Centereach, NY 11720 | 2019-10-28 |
| 1588158406 | Robin Smith | Social Worker | 129 Dawn Drive, Centereach, NY 11720 | 2018-06-15 |
| 1154820553 | Amanda Grodewald-adler, Psy.d., Pllc | Clinic/Center | 1919 Middle Country Rd Ste 308, Centereach, NY 11720 | 2018-02-12 |
| 1760901144 | Gabrielle Tatiana Zutter | Behavior Technician | 23 Jay Road, Centerach, NY 11720 | 2017-09-16 |
| 1619401544 | Michelle Leblanc | Licensed Practical Nurse | 8 Catalina Ct, Centerreach, NY 11720 | 2017-04-18 |
| 1023557212 | Alexa Brooke Ruggiero | Student in an Organized Health Care Education/Training Program | 30 Strathmore Village Dr, South Setauket, NY 11720 | 2017-02-21 |
| 1336539519 | Rosemarie Bruno | Social Worker | 3771 Nesconset Hwy Ste 102a, South Setauket, NY 11720 | 2015-01-27 |
| 1225446115 | Kristen Kunkel | Specialist/Technologist | 26 Lily Dr, South Setauket, NY 11720 | 2014-07-24 |
| 1497175897 | Jacqueline Maddox | Student in an Organized Health Care Education/Training Program | 11 43rd Street, Centereach, NY 11720 | 2014-04-24 |
| 1336492370 | Valentina Blaine | Optometrist | 1958 Middle Country Rd, Centereach, NY 11720 | 2012-10-15 |
| Find all providers in zip 11720 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225008097 | Marilyn Hughes | Physical Therapy Assistant | 141 Mark Tree Rd, Centereach, NY 11720-2221 | 2006-01-25 |
| 1013997394 | Martin Joseph Lupo | Physical Therapy Assistant | 141 Mark Tree Rd, Centereach, NY 11720-2221 | 2006-01-20 |
| 1750361648 | Joan Carol Cavanagh | Physical Therapy Assistant | 141 Mark Tree Rd, Centereach, NY 11720-2221 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507328 | Cassandra Coppola | Physical Therapy Assistant | 2202 Concord St, Malta, NY 12020-5265 | 2020-10-27 |
| 1942808969 | Aby Philip | Physical Therapy Assistant | 725 The Plain Rd, Westbury, NY 11590-5930 | 2020-10-12 |
| 1427656545 | Lisa Beth Stein | Physical Therapy Assistant | 20 Stuyvesant Oval Apt 7c, New York, NY 10009-2208 | 2020-10-12 |
| 1992302202 | Paul Alan O Ergina | Physical Therapy Assistant | 95 Knickerbocker Rd N, Plainview, NY 11803-2627 | 2020-10-08 |
| 1578170536 | Joanna Drzen | Physical Therapy Assistant | 4133 163rd St Apt 2a, Flushing, NY 11358-2681 | 2020-09-24 |
| 1477169043 | Anika Ashley Parrish | Physical Therapy Assistant | 708 De Mott Ave, North Baldwin, NY 11510-1326 | 2020-09-19 |
| 1598371122 | Tammy Kitchen | Physical Therapy Assistant | 118 Arrow Wood Pl, Ballston Spa, NY 12020-4706 | 2020-09-18 |
| 1710593553 | Abbey Elizabeth Clayton | Physical Therapy Assistant | 167 W 76th St Apt 4f, New York, NY 10023-8338 | 2020-09-17 |
| 1992310403 | Sharon Morgan | Physical Therapy Assistant | 100 Darrow Pl Apt 18e, Bronx, NY 10475-1853 | 2020-09-11 |
| 1134732142 | Wendell Jamias Abad | Physical Therapy Assistant | 90-33 Elmhurst Ave., Jackson Heights, NY 11372 | 2020-08-28 |
| Find all providers with the same taxonomy | ||||
| City | CENTEREACH |
| Zip Code | 11720 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.