Individual provider · Type 1 NPI

Thomas James Keough Jr. Jr.

Physical Therapy Assistant · San Diego, CA

NPI number 1023917598 Active

Practice location

5807 University Ave Ste 6
San Diego, CA 92115-6295

Call (619) 500-1098 Map

Mailing address

2925 Alta Dr
National City, CA 91950-7806

Specialties and licenses

Taxonomy	Code	License
Physical Therapy Assistant Primary	225200000X	55273 (CA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1023917598

Thomas James Keough Jr. Jr.'s National Provider Identifier is 1023917598, issued on Nov 2, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in San Diego, CA. The record was last updated on Nov 2, 2026.