Individual ProviderAmanda O'KeefePhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address3391 Richmond Ave, Staten Island, NY 10312-2025(347) 209-5524PECOS EnrollmentBased on the most recent information from CMS, provider Amanda O'Keefe does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1093322331Provider TypeIndividualFull NameO'Keefe, AmandaTitleDr.CredentialDPTGenderFemaleSole ProprietorNoEnumeration Date9/30/2020Last Updated9/30/2020Contact InformationPractice LocationPractice Address3391 Richmond Ave, Staten Island, NY 10312-2025Phone(347) 209-5524FaxUnlisted FaxMailing LocationMailing Address281 Colon Ave, Staten Island, NY 10308-1413Phone(347) 209-5524FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense046416New YorkCode225100000XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense40QA01943300New Jersey