Individual provider · Type 1 NPI

Paul Henry Keckeisen, PTA

Physical Therapy Assistant · Hauppauge, NY

NPI number 1366525982 Active

Practice location

120 Plant Ave
Hauppauge, NY 11788-3805

Call (631) 273-1300 Map

Fax (631) 851-3865

Mailing address

9 W Spruce St
Islip, NY 11751-2713

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X002975 (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 1366525982

Paul Henry Keckeisen, PTA's National Provider Identifier is 1366525982, issued on Oct 24, 2006. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Hauppauge, NY. The record was last updated on Oct 22, 2010.