Sandra M Van Keuren, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1944 Issued in FL

Practice address

379 Church Rd
Tequesta, FL 33469-3006

Phone

(561) 743-5559

NPI assigned

Aug 9, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1013927490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 CHURCH RD",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334693006",
            "telephone_number": "561-743-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 CHURCH RD",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334693006",
            "telephone_number": "561-743-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN KEUREN",
        "first_name": "SANDRA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2019-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "1944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "880263700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "Z004F",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Tobis, M.D.
• Treasure Coast Employment Services
• Christina Tseng
• Sofia Tzavaras
• Jennifer Van Horn, DT, MS HS
• Ki Ross Vaughn, D.C.
• Mary Katherine Venegas, LMHC
• Village of Tequesta Florida Village of Tequesta
• Alberto Villalobos, DMD
• Sharon Ann Vitale, N.P.-C

• Occupational Therapist in Tequesta, FL
• Providers in Tequesta, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.