Brad Keenan (NPI# 1215449251, PAC ID# 6709119829) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1215449251 |
| PAC ID by PECOS | 6709119829 |
| Professional Enrollment ID | I20190605000560 |
| Full Name | Brad Keenan |
| Organization Legal Name | FITZPATRICK PHYSICAL THERAPY INC |
| Address |
615 New York Ranch Rd Suite 2 Jackson CA 95642-9355 |
| Phone Number | 2092239410 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 4183674724 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1346 Clarkson Clayton Ctr, Ellisville, MO 63011-2145 | 6362275200 | BABAR ENTERPRISES LLC |
| 615 New York Ranch Rd, Suite 2, Jackson, CA 95642-9355 | 2092239410 | FITZPATRICK PHYSICAL THERAPY INC |
| 1252 Broadway, Suite B, Placerville, CA 95667-5827 | 5306229410 | FITZPATRICK PHYSICAL THERAPY INC |
| 605 E Booneslick Rd, Suite 3, Warrenton, MO 63383-2127 | 6364566350 | BABAR ENTERPRISES LLC |
| Organization Legal Name | FITZPATRICK PHYSICAL THERAPY INC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angelo Petriello | Physical Therapy | Fitzpatrick Physical Therapy Inc | 615 New York Ranch Rd, Suite 2, Jackson, CA 95642-9355 |
| Anna M Galloway | Physical Therapy | Fitzpatrick Physical Therapy Inc | 1252 Broadway, Suite B, Placerville, CA 95667-5827 |
| Adam Styles | Physical Therapy | Fitzpatrick Physical Therapy Inc | 615 New York Ranch Rd, Suite 2, Jackson, CA 95642-9355 |
| Bethanie Nicole Funderburk | Physical Therapy | Fitzpatrick Physical Therapy Inc | 615 New York Ranch Rd, Suite 2, Jackson, CA 95642-9355 |
| Neha Samir Kothari | Physical Therapy | Fitzpatrick Physical Therapy Inc | 615 New York Ranch Rd, Suite 2, Jackson, CA 95642-9355 |
| Marian C Fitzpatrick | Physical Therapy | Fitzpatrick Physical Therapy Inc | 615 New York Ranch Rd, Suite 2, Jackson, CA 95642-9355 |
| Jason Hubbart | Physical Therapy | Fitzpatrick Physical Therapy Inc | 1252 Broadway, Suite B, Placerville, CA 95667-5827 |
| Mauriana D Wilcox | Physical Therapy | Fitzpatrick Physical Therapy Inc | 615 New York Ranch Rd, Suite 2, Jackson, CA 95642-9355 |
| Gary S Wick | Physical Therapy | Fitzpatrick Physical Therapy Inc | 615 New York Ranch Rd, Suite 2, Jackson, CA 95642-9355 |
| Ann John | Physical Therapy | Fitzpatrick Physical Therapy Inc | 1252 Broadway, Suite B, Placerville, CA 95667-5827 |
| Street Address |
615 NEW YORK RANCH RD SUITE 2 |
| City | JACKSON |
| State | CA |
| Zip | 95642-9355 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angelo Petriello | Physical Therapy | Fitzpatrick Physical Therapy Inc | 615 New York Ranch Rd, Suite 2, Jackson, CA 95642-9355 |
| Adam Styles | Physical Therapy | Fitzpatrick Physical Therapy Inc | 615 New York Ranch Rd, Suite 2, Jackson, CA 95642-9355 |
| Bethanie Nicole Funderburk | Physical Therapy | Fitzpatrick Physical Therapy Inc | 615 New York Ranch Rd, Suite 2, Jackson, CA 95642-9355 |
| Neha Samir Kothari | Physical Therapy | Fitzpatrick Physical Therapy Inc | 615 New York Ranch Rd, Suite 2, Jackson, CA 95642-9355 |
| Marian C Fitzpatrick | Physical Therapy | Fitzpatrick Physical Therapy Inc | 615 New York Ranch Rd, Suite 2, Jackson, CA 95642-9355 |
| Mauriana D Wilcox | Physical Therapy | Fitzpatrick Physical Therapy Inc | 615 New York Ranch Rd, Suite 2, Jackson, CA 95642-9355 |
| Gary S Wick | Physical Therapy | Fitzpatrick Physical Therapy Inc | 615 New York Ranch Rd, Suite 2, Jackson, CA 95642-9355 |
| Leah R Mikla | Physical Therapy | Fitzpatrick Physical Therapy Inc | 615 New York Ranch Rd, Suite 2, Jackson, CA 95642-9355 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Geraldine T Oshea | Internal Medicine | 235 New York Ranch Rd B, Foothills Womens Cnt, Jackson, CA 95642-2147 | |
| Terrence C Turpen | Physician Assistant | 223 New York Ranch Rd, Jackson, CA 95642-2147 | |
| Anant K Lodhia | Internal Medicine | 223 New York Ranch Rd, Jackson, CA 95642-2147 | |
| Nichole Michelle Renschler | Physician Assistant | Sutter Valley Medical Foundation | 815 Court St, Jackson, CA 95642-2154 |
| John Chin | Cardiac Surgery | Sutter Valley Medical Foundation | 815 Court St, Jackson, CA 95642-2154 |
| Kelly E Pate | Physician Assistant | Sutter Valley Medical Foundation | 815 Court St, Jackson, CA 95642-2154 |
| Neel Kg Shah | Internal Medicine | Sutter Valley Medical Foundation | 815 Court St, Jackson, CA 95642-2154 |
| Anita Bai Xue | Anesthesiology | Sutter Valley Medical Foundation | 815 Court St, Jackson, CA 95642-2154 |
| Marianne E La Pointe | Physician Assistant | Sutter Valley Medical Foundation | 815 Court St, Jackson, CA 95642-2154 |
| Anastasia L Collins | Family Medicine | Sutter Valley Medical Foundation | 815 Court St, Jackson, CA 95642-2154 |
| Find all physicians in zip 95642 | |||
| City | JACKSON |
| Zip Code | 95642 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | JACKSON + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.