Mr. Keith A Correia, LATC, PTA
Specialist/Technologist, Athletic Trainer in Everett, Massachusetts
1689870396- Practice location
- 103 Garland St, Everett, MA 02149-5066
- Phone
- 617-381-7175
- Fax
- —
- Last updated
- September 11, 2025
Keith A Correia is a Specialist/Technologist, Athletic Trainer based in Everett, MA. Keith A Correia practices in Everett, MA and has the professional credentials of LATC, PTA. The NPI Number for Keith A Correia is 1689870396 and holds a License No. 4035 (MA). The current practice location address for Keith A Correia is 103 Garland St, Everett, MA 02149-5066 and can be reached out via phone at 617-381-7175.
Provider Profile Details
- NPI Number
- 1689870396
- Provider Name
- Keith A Correia
- Credential
- LATC, PTA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 103 Garland St, Everett, MA 02149-5066
- Phone Number
- 617-381-7175
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 21, 2007
- Last Update Date
- September 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 103 Garland St
Everett, MA 02149-5066 - City
- Everett
- State
- Massachusetts
- Zip
- 02149-5066
- Phone Number
- 617-381-7175
Provider Business Mailing Address Details
- Address
- 117 Fernwood Ave
Revere, MA 02151-3484 - City
- Revere
- State
- MA
- Zip
- 02151-3484
- Phone Number
- 781-629-1300
License Information
- License Number (1)
- 4035
- License State (1)
- MA
- Taxonomy (1)
- Physical Therapy Assistant · 225200000X
- License Number (2)
- 1028
- License State (2)
- MA
- Taxonomy (2)
- Specialist/Technologist, Athletic Trainer · 2255A2300X · 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 Mr. Keith A Correia, LATC, PTA?
The NPI number of Mr. Keith A Correia, LATC, PTA is 1689870396. It was assigned on June 21, 2007 and is currently active in the NPPES registry.
What is the specialty of Mr. Keith A Correia, LATC, PTA?
Mr. Keith A Correia, LATC, PTA is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 4035.
Where does Mr. Keith A Correia, LATC, PTA practice?
The practice location is 103 Garland St, Everett, MA 02149-5066. The office can be reached at 617-381-7175 (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 1689870396 directly on the NPPES registry website.