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

Keith E Callanan, MPT

Individual provider Physical Therapist · NPI 1902902380

Keith E Callanan, MPT is a Physical Therapist in Private Practice in Stoughton, Massachusetts. Qualified in 1999, 27 years ago. Practices with Elite Sports Inc, an 11-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
27
Licensed in
MA
In the registry since
2006
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

1519 Central St
Stoughton, MA 02072-4415
Phone: (781) 297-0979
Fax: (781) 297-3703
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 13381 (MA)

Record details

NPI number1902902380
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT
Sole proprietorNo
NPI enumeratedSeptember 15, 2006
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024
Mailing address1519 Central St, Stoughton, MA 02072-4415

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Elite Sports Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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