CARLY KEAFER – Physical Therapist, NPI 1811413651

CARLY KEAFER is a healthcare provider. based in Tewksbury, Massachusetts. specializing in Physical Therapist. They hold a License No. PTL.0017146 (CO). The NPI Number for CARLY KEAFER is 1811413651

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
CARLY KEAFER
NPI
1811413651
Phone
(978) 452-3453
Address
600 CLARK RD
Enumeration Date
14 August 2017
Last Update Date
26 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9784523453
Graduation Year
2017 (9 years ago)
PAC ID
8921371238
Group Practice PAC ID
8022922624
Professional Enrollment ID
I20170908001169
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

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Provider Addresses for CARLY KEAFER

  • 600, Clark Road, Wamesit, Tewksbury, Middlesex County, Massachusetts, 01852, United States

    TEWKSBURY, MA 018761699

    Phone: (978) 452-3453

    Type: Mailing

  • 7777 W 38TH AVE UNIT A124

    WHEAT RIDGE, CO 800336170

    Phone: (303) 940-0757

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-09-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170908001169IPhysical Therapist In Private PracticeMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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 01876)

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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: 8022922624View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeNC
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
-MA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA

Reviews

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Frequently asked questions

What is the standard ID for CARLY KEAFER in the U.S.?
In the U.S., CARLY KEAFER is identified by NPI 1811413651.
Does the public listing show CARLY KEAFER as active?
CARLY KEAFER's NPI record reflects an active status in NPPES.
Which specialty label fits CARLY KEAFER?
NPPES ties CARLY KEAFER to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit CARLY KEAFER in Tewksbury, Massachusetts?
For routing, start with Tewksbury, Massachusetts for CARLY KEAFER, then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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