MATTHEW PETER KEENAN


Address: 15004 Innovation Dr, San Diego, CA 92128-3491
Phone: 8586057189

MATTHEW PETER KEENAN (NPI# 1245874601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245874601
Entity Type Individual
Full Name MATTHEW PETER KEENAN
Credential DPT
Practice Address 15004 Innovation Dr
San Diego
CA 92128-3491
Mailing Address 10790 Rancho Bernardo Rd.
Mail Drop 4s-205
San Diego
CA 92127-5705
Practice Telephone 8586057189
Mailing Telephone 8589275775
Enumeration Date 2019-10-29
Last Update Date 2019-10-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251X0800X Physical Therapist
Specialization: Orthopedic
33358 CA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 15004 INNOVATION DR
City SAN DIEGO
State CA
Zip Code 92128-3491

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851376222 Scripps Clinic Medical Group Clinic/Center 15004 Innovation Dr, San Diego, CA 92128-3491 2005-12-08
1023642097 Amy Joelle Chamberlain Physical Therapist 15004 Innovation Dr, San Diego, CA 92128-3491 2020-02-27
1790318715 Cameron Devany Speech-Language Pathologist 15004 Innovation Dr, San Diego, CA 92128-3491 2020-02-18
1851924252 Janelle Marie Wilson Physical Therapy Assistant 15004 Innovation Dr, San Diego, CA 92128-3491 2020-02-14
1285267617 Mitchell Russo Physical Therapist 15004 Innovation Dr, San Diego, CA 92128-3491 2020-02-13
1427681873 Lucy Santillan Physical Therapist 15004 Innovation Dr, San Diego, CA 92128-3491 2020-02-13
1740813112 Monique Munro Werner Physical Therapist 15004 Innovation Dr, San Diego, CA 92128-3491 2020-02-13
1003449422 Margaret Ann Fuller Occupational Therapist 15004 Innovation Dr, San Diego, CA 92128-3491 2020-02-13
1023641586 Katie Jo Rodgers Speech-Language Pathologist 15004 Innovation Dr, San Diego, CA 92128-3491 2020-02-12
1649802166 Irina Keefer Physical Therapist 15004 Innovation Dr, San Diego, CA 92128-3491 2020-02-12
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518585371 Alicia Ford Behavior Technician 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 2020-07-08
1164087573 Madeleine White Dietitian, Registered 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 2019-05-01
1053807677 Joele Ghosn Speech-Language Pathologist 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 2018-07-06
1376034348 Eddie Reginald Burston II In Home Supportive Care 12727 Camino Emparrado, San Diego, CA 92128 2018-05-24
1336659218 Ryan Fong Physician Assistant 15004 Innovation Drive (s97), San Diego, CA 92128 2017-10-05
1508316191 Araceli Flores Behavioral Analyst 15737 Innovation Dr, Suite 200, San Diego, CA 92128 2016-10-07
1003283961 Katherine Dishner Hearing Instrument Specialist 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 2015-08-27
1205212586 Mobilia Dmd Inc. Point of Service 12405 Rancho Bernardo Rd., San Diego, CA 92128 2015-08-10
1346623634 Angela Christine Storck-petersen Dietitian, Registered 11768 Caminito Corriente, San Diego, CA 92128 2015-07-04
1134526874 Breeana Rose Lancaster Speech-Language Pathologist 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 2014-11-24
Find all providers in zip 92128

Taxonomy Information

Taxonomy Code 2251X0800X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Orthopedic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033732250 Sync Physical Therapy & Yoga Inc Physical Therapist 5100 Marlborough Dr Ste 101, San Diego, CA 92116-2020 2020-05-21
1710532726 Katherine Dever Jones Physical Therapist 7625 Mesa College Dr # 101a, San Diego, CA 92111-5343 2019-08-06
1437711082 Garrett Kale Physical Therapist 9333 Genesee Ave # 350a, San Diego, CA 92121-2111 2019-07-03
1467946921 Meredith Claire Haeuptle Physical Therapist 7625 Mesa College Dr Ste 101a, San Diego, CA 92111-5343 2018-06-19
1407362650 Chelsea Boomer Physical Therapist 6475 Alvarado Rd Ste 118, San Diego, CA 92120-5007 2017-12-26
1679018675 Julie Woolridge Physical Therapist 295 G Street, San Diego, CA 92101-4633 2016-12-29
1710351747 Jonathan Pe Physical Therapist 18109 Smokesignal Dr, San Diego, CA 92127-3108 2015-11-13
1801295332 Julie Guerin Physical Therapist 17860 Main, San Diego, CA 92177-7860 2014-08-20
1811330400 Keith Mahler Physical Therapist & Associates Physical Therapist 7801 Mission Center Ct Ste 430, San Diego, CA 92108-1332 2013-04-12
1720337660 Jenna Marie Kempf Physical Therapist 2555 Camino Del Rio South, 102, San Diego, CA 92108 2012-09-06
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92128

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Dataset Information

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.

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