MEDICARE: MR. KEITH FOLEY PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist	18786	MA

General Provider Information

NPI Number	:	1487006516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KEITH FOLEY PT

Provider Business Mailing Address
First Line	:	4 RICHMOND SQ
Second Line	:
City	:	PROVIDENCE
State	:	RI
Zip	:	02906-5117
Country	:	US
Telephone Number	:	401-433-4172
Fax Number	:	401-433-0612

Provider Business Practice Location Address
First Line	:	479 WASHINGTON ST UNIT 5
Second Line	:
City	:	QUINCY
State	:	MA
Zip	:	02169-5895
Country	:	US
Telephone Number	:	617-404-8398
Fax Number	:	617-934-0833

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2016
Last Update Date	:	10/17/2025

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Directions to “ MR. KEITH FOLEY PT” Practice Location

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