MEDICARE: KEEGAN FEROAH DPT

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	225100000X	Physical Therapist	7021	NV

General Provider Information

NPI Number	:	1518891001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEEGAN FEROAH DPT

Provider Business Mailing Address
First Line	:	1175 SENTINEL CIR
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89509-3517
Country	:	US
Telephone Number	:	775-507-4210
Fax Number	:	775-507-4209

Provider Business Practice Location Address
First Line	:	2484 WINGFIELD HILLS RD
Second Line	:
City	:	SPARKS
State	:	NV
Zip	:	89436-7205
Country	:	US
Telephone Number	:	775-993-3640
Fax Number	:	775-993-3641

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

Provider Enumeration Date	:	06/10/2026
Last Update Date	:	06/10/2026

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Directions to “ KEEGAN FEROAH DPT” Practice Location

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