DR. KEEGAN ROSS (NPI# 1760039515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760039515 |
Entity Type | Individual |
Full Name | DR. KEEGAN ROSS |
Credential | PT, DPT, CSCS |
Practice Address |
2629 E Rose Garden Ln Phoenix AZ 85050-4605 |
Mailing Address |
20425 N 7th St Phoenix AZ 85024-6001 |
Practice Telephone | 4804499000 |
Mailing Telephone | 3098241916 |
Enumeration Date | 2019-08-26 |
Last Update Date | 2019-08-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251S0007X |
Physical Therapist Specialization: Sports |
30852 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
2629 E ROSE GARDEN LN |
City | PHOENIX |
State | AZ |
Zip Code | 85050-4605 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154483170 | Exos - Athletes Performance Arizona LLC | Physical Therapist | 2629 E Rose Garden Ln, Phoenix, AZ 85050-4605 | 2006-12-15 |
1013495621 | Hannah Breck | Physical Therapist | 2629 E Rose Garden Ln, Phoenix, AZ 85050-4605 | 2018-08-06 |
1679077887 | Megan Leftwich | Physical Therapist | 2629 E Rose Garden Ln, Phoenix, AZ 85050-4605 | 2018-03-21 |
1346764768 | Cruz Romero | Physical Medicine & Rehabilitation | 2629 E Rose Garden Ln, Phoenix, AZ 85050-4605 | 2017-07-27 |
1902343320 | Karla Wright | Dietitian, Registered | 2629 E Rose Garden Ln, Phoenix, AZ 85050-4605 | 2017-01-23 |
1215473442 | Jana Mason | Dietitian, Registered | 2629 E Rose Garden Ln, Phoenix, AZ 85050-4605 | 2017-01-11 |
1881148492 | Athletes Performance Arizona LLC | Dietitian, Registered | 2629 E Rose Garden Ln, Phoenix, AZ 85050-4605 | 2016-08-11 |
1790138576 | Erika Sharp | Dietitian, Registered | 2629 E Rose Garden Ln, Phoenix, AZ 85050-4605 | 2016-07-18 |
1366807455 | Ryan William Neal | Specialist/Technologist | 2629 E Rose Garden Ln, Phoenix, AZ 85050-4605 | 2015-12-16 |
1972935161 | Garrett Bradley Kendall | Physical Therapist | 2629 E Rose Garden Ln, Phoenix, AZ 85050-4605 | 2013-07-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770045528 | Jesse Micheal Stokke | Student in an Organized Health Care Education/Training Program | Honorhealth Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-04-02 |
1386104974 | Dania Aijaz Shah | Student in an Organized Health Care Education/Training Program | Honor Health Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-03-21 |
1205391588 | Sanctuary | Clinic/Center | 2550 E Rose Garden Ln, # 73404, Phoenix, AZ 85050 | 2019-01-31 |
1477026474 | Archer Health LLC | Nurse Practitioner | 21001 N Tatum Blvd Ste 1630 - 490, Phoenix, AZ 85050 | 2019-01-02 |
1548756059 | Preston Andrew Slade | Community/Behavioral Health | 20860 E. Tatum Blvd Ste, 300, Phoenix, AZ 85050 | 2018-07-09 |
1184126658 | Alisha Ramirez | Specialist/Technologist | 19638 N 37th Way, Phoenix, AZ 85050 | 2018-03-01 |
1720590011 | Dr Richards Pllc | Internal Medicine | 20815 N 25th Pl Ste A106, Phoenix, AZ 85050 | 2017-10-26 |
1417474792 | Heather Arabeity | Nurse Practitioner | 3762 E Zachary Dr, Phoenix, AZ 85050 | 2017-08-28 |
1083161087 | Haley Elaine Kinzer | Physician Assistant | 20950 N Tatum Blvd Ste 150, Phoenix, AZ 85050 | 2016-09-07 |
1003227927 | Chelsea Joy Thomsen | Internal Medicine | 26224 N Tatum Blvd Ste 7, Phoenix, AZ 85050 | 2014-05-13 |
Find all providers in zip 85050 |
Taxonomy Code | 2251S0007X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Sports |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447816590 | Mbong Jerry Ngwese | Physical Therapist | 2546 West Bloch Rd, Phoenix, AZ 85041 | 2019-05-14 |
1952665721 | Tamara Gerry Nicholson | Physical Therapist | 4440 N 36th St Ste 240, Phoenix, AZ 85018-3592 | 2012-06-27 |
1306997580 | Keith James Pritchette | Physical Therapist | 4730 E Warner Rd Ste 10, Phoenix, AZ 85044-3320 | 2007-01-15 |
1467523381 | Richard Charles Elsner | Physical Therapist | 2222 East Highland Ave, Suite 310, Phoenix, AZ 85016-4879 | 2006-11-13 |
1275584567 | Justin M Sampley | Physical Therapist | 425 E Pinnacle Peak Rd, Phoenix, AZ 85024-5657 | 2006-05-12 |
1013495621 | Hannah Breck | Physical Therapist | 2629 E Rose Garden Ln, Phoenix, AZ 85050-4605 | 2018-08-06 |
1003300963 | Jarad Coleman Brisbin | Physical Therapist | 5750 S 32nd St, Phoenix, AZ 85040-3833 | 2018-06-14 |
1255754354 | Foothills Sports Medicine & Rehabilitation - Downtown, LLC | Physical Therapist | 375 E Virginia Ave, Phoenix, AZ 85004-1202 | 2014-01-24 |
1447509708 | Annemarie Alf | Physical Therapist | 2629 E Rose Garden Ln, Phoenix, AZ 85050-4605 | 2012-09-02 |
1518160183 | Foothills Sports Medicine and Rehabilitation Biltmore Inc | Physical Therapist | 2222 E Highland Ave, Suite 200, Phoenix, AZ 85016-4872 | 2007-06-08 |
Find all providers in PHOENIX |
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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.