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

Keenan Reardon

Individual provider Physical Therapist · NPI 1861231565

Keenan Reardon is a Physical Therapist in Private Practice in Austin, Texas. Qualified in 2023, 3 years ago. Practices with Ati Holdings of Arizona LLC, a 231-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon and Texas.

Years since qualifying
3
Licensed in
OR, TX
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

1700 E Oltorf St Ste 105
Austin, TX 78741-4379
Phone: (512) 652-0014
Fax: (737) 205-3194
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3322 N Vancouver Ave, Portland, OR 97227 — (503) 200-6650

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (TX)
Physical Therapist Taxonomy 225100000X (OR)

Record details

NPI number1861231565
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 22, 2024
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Ati Holdings Of Arizona Llc — 231 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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