MICHAEL PAUL KEENAN (PT,DPT,ATC) – Physical Therapist, NPI 1679719645

MICHAEL PAUL KEENAN (PT,DPT,ATC) is a healthcare provider. based in Boston, Massachusetts. specializing in Physical Therapist. They hold the professional credentials PT,DPT,ATC. They hold a License No. 070802068 (PA). The NPI Number for MICHAEL PAUL KEENAN (PT,DPT,ATC) is 1679719645

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL PAUL KEENAN (PT,DPT,ATC)
NPI
1679719645
Phone
(914) 294-4050
Address
PO BOX 412969
Enumeration Date
22 December 2008
Last Update Date
24 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6105570220
Graduation Year
2014 (12 years ago)
PAC ID
2466752662
Group Practice PAC ID
4082507660
Professional Enrollment ID
I20151119001072
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:17State licenses:2Digital endpointsOther names

Provider Addresses for MICHAEL PAUL KEENAN (PT,DPT,ATC)

  • PO BOX 412969

    BOSTON, MA 022412066

    Phone: (914) 294-4050

    Type: Mailing

  • 110 ARDMORE AVE UNIT A

    ARDMORE, PA 190031339

    Phone: (484) 498-8299

    Fax: (484) 494-2938

    Type: Location

  • 2129 W Oregon Ave

    3rd Floor

    Philadelphia, PA 191454131

    Phone: (215) 336-6630

    Type: Location

  • 315, New Street, North Philadelphia, Philadelphia, Philadelphia County, Pennsylvania, 19106, United States

    APT 112

    PHILADELPHIA, PA 191061132

    Phone: (215) 858-4560

    Type: Mailing

  • Oregon Avenue, South Delaware Avenue, South Philadelphia, Philadelphia, Philadelphia County, Pennsylvania, 19148, United States

    3RD FLOOR

    PHILADELPHIA, PA 191454131

    Phone: (215) 336-6630

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02241)

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Provider's Procedures

MICHAEL PAUL KEENAN (PT,DPT,ATC) performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYPA97001Physical therapy evaluation4136
PHYSICAL THERAPYPA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes70351
PHYSICAL THERAPYPA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes77850

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082507660View full group profile

Reviews

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Frequently asked questions

Does MICHAEL PAUL KEENAN (PT,DPT,ATC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MICHAEL PAUL KEENAN (PT,DPT,ATC) uses 1679719645.
Is MICHAEL PAUL KEENAN (PT,DPT,ATC) listed as active for patients and plans?
The listing shows MICHAEL PAUL KEENAN (PT,DPT,ATC) as active in the NPI system.
What is MICHAEL PAUL KEENAN (PT,DPT,ATC)'s specialty?
The listing groups MICHAEL PAUL KEENAN (PT,DPT,ATC) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is MICHAEL PAUL KEENAN (PT,DPT,ATC) based?
MICHAEL PAUL KEENAN (PT,DPT,ATC) is tied to Boston, Massachusetts in the data we show; additional addresses may exist on the full record.
Is the information about MICHAEL PAUL KEENAN (PT,DPT,ATC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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