Individual provider · Type 1 NPI

Patrick Keller, PTA

Physical Therapy Assistant · Centereach, NY

NPI number 1124008404 Active

Practice location

141 Mark Tree Rd
Centereach, NY 11720-2221

Call (631) 467-4235 Map

Fax (631) 467-2655

Mailing address

236 Frowein Rd
Center Moriches, NY 11934-2006

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X006346-1 (NY)

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 1124008404

Patrick Keller, PTA's National Provider Identifier is 1124008404, issued on Jan 20, 2006. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Centereach, NY. The record was last updated on Jul 13, 2026.