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

Individual provider Physician Assistant · NPI 1699019281

Theresa M. Keddy, PA is a Physician Assistant in Avon, Connecticut. Qualified in 2013, 13 years ago. Practices with Prohealth Physicians PC, a 212-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
13
Licensed in
CT
In the registry since
2012
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

8D Canal Ct
Avon, CT 06001-3747
Phone: (860) 674-9686
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 574 Middle Tpke E, Manchester, CT 06040-3730 — (860) 646-4334

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 002854 (CT)

Record details

NPI number1699019281
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 20, 2012
Last updated in NPPESDecember 7, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Prohealth Physicians Pc — 212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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