Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Keefe Fitzgerald, DPT

Individual provider Physical Therapist · NPI 1174010797

Jack Keefe Fitzgerald, DPT is a Physical Therapist in Latham, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2018
Specialties on file
3
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

711 Troy Schenectady Rd Ste 103
Latham, NY 12110-2454
Phone: (518) 783-3110
Fax: (518) 220-9506
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3 Rose Ct, Cohoes, NY 12047-1524 — (518) 210-3591

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 046250 (NY)
Physical Therapist Taxonomy 225100000X · Licence P106547 (NY)
Athletic Trainer Taxonomy 2255A2300X (NY)

Record details

NPI number1174010797
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedApril 19, 2018
Last updated in NPPESSeptember 21, 2020
Certification dateAugust 26, 2020
Mailing address711 Troy Schenectady Rd Ste 203, Latham, NY 12110-2461

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