Mary Keough
Physical Medicine & Rehabilitation, Sports Medicine in East Providence, Rhode Island
1235785239- Practice location
- 33 Veterans Memorial Pkwy, East Providence, RI 02914-5017
- Phone
- 401-429-6290
- Fax
- —
- Last updated
- July 26, 2026
Mary Keough is a Physical Medicine & Rehabilitation, Sports Medicine based in East Providence, RI. Mary Keough practices in East Providence, RI. The NPI Number for Mary Keough is 1235785239 and holds a License No. PT03193 (RI). The current practice location address for Mary Keough is 33 Veterans Memorial Pkwy, East Providence, RI 02914-5017 and can be reached out via phone at 401-429-6290.
Provider Profile Details
- NPI Number
- 1235785239
- Provider Name
- Mary Keough
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 33 Veterans Memorial Pkwy, East Providence, RI 02914-5017
- Phone Number
- 401-429-6290
- Primary Taxonomy
- Physical Medicine & Rehabilitation, Sports Medicine · 2081S0010X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 15, 2019
- Last Update Date
- July 26, 2026
- Certification Date
- July 26, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 33 Veterans Memorial Pkwy
East Providence, RI 02914-5017 - City
- East Providence
- State
- Rhode Island
- Zip
- 02914-5017
- Phone Number
- 401-429-6290
Provider Business Mailing Address Details
- Address
- 425 Plainfield St
Providence, RI 02909-4457 - City
- Providence
- State
- RI
- Zip
- 02909-4457
- Phone Number
- 401-316-8344
License Information
- License Number
- PT03193
- License State
- RI
- Taxonomy
- Physical Medicine & Rehabilitation, Sports Medicine · 2081S0010X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mary Keough?
The NPI number of Mary Keough is 1235785239. It was assigned on August 15, 2019 and is currently active in the NPPES registry.
What is the specialty of Mary Keough?
Mary Keough is registered under the primary taxonomy Physical Medicine & Rehabilitation, Sports Medicine (code 2081S0010X), licensed in RI under license number PT03193.
Where does Mary Keough practice?
The practice location is 33 Veterans Memorial Pkwy, East Providence, RI 02914-5017. The office can be reached at 401-429-6290 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235785239 directly on the NPPES registry website.