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

Michael Keogh, DPT

Individual provider Physical Therapist · NPI 1861223059

Michael Keogh, DPT is a Physical Therapist in Private Practice in Portland, Maine. Qualified in 2024, 2 years ago. Practices with Back in Motion Physical Therapy LLC, a 64-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
2
Licensed in
ME
In the registry since
2024
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

1041 Brighton Ave
Portland, ME 04102-1042
Phone: (207) 699-4111
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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 PT6929 (ME)

Record details

NPI number1861223059
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 9, 2024
Last updated in NPPESAugust 13, 2024
Certification dateAugust 13, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Back In Motion Physical Therapy Llc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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