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

Mr. Keith S Havemeyer, PT, OCS, FAAOMPT

Individual provider Physical Therapist · NPI 1720201932

Mr. Keith S Havemeyer, PT, OCS, FAAOMPT is a Physical Therapist in Private Practice in Waterbury, Connecticut. Qualified in 1992, 34 years ago. Practices with Peak Physical Therapy LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
34
Licensed in
CT
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

550 Chase Ave
Waterbury, CT 06704-1904
Phone: (860) 250-4369
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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 004663 (CT)

Record details

NPI number1720201932
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , OCS , FAAOMPT
Sole proprietorNo
NPI enumeratedApril 10, 2007
Last updated in NPPESMay 13, 2020
Certification dateMay 13, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Peak Physical Therapy Llc. — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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