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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACK KEEFE FITZGERALD, DPT

Active

JACK KEEFE FITZGERALD, DPT is a Physical Therapy Assistant healthcare provider located in LATHAM, New York. NPI 1174010797 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · LATHAM, NY

Registration Details

NPI Number
1174010797
Provider Type
Individual
Gender
Male
NPI Issued
Apr 19, 2018 (8.32506954962 yrs)
Last Updated
Sep 21, 2020
Licenses
P106547 (NY)
046250 (NY)

Practice Information

Address
711 TROY SCHENECTADY RD STE 103
LATHAM, NY, 121102454
Browse NY providers · Browse ZIP 12110
Phone
5187833110
Fax
5182209506
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Athletic Trainer
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in LATHAM, NY

Name Credential NPI
BRENDAN SULLIVAN PT 1962494740
NORA GRIBBIN PT 1396727459
KARI BENSON PT 1457336570
STACEY SZWETKOWSKI PT 1437134558
KIM TETER PT 1316922453
RICHARD ROTHWELL PT 1538144506
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.