Active NPI
Keli A Boone, OTR/L
- Occupational Therapist
- Oklahoma City, OK
National Provider Identifier
1023206356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT719
- Practice address
- 1404 NW 122ND St
Oklahoma City, OK 73114-8000 - Phone
- (405) 749-8131
- NPI assigned
- Oct 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT719 | OK | Primary |
Addresses
Primary practice location
1404 NW 122ND St
Oklahoma City, OK 73114-8000
Mailing address
8201 NE 139TH St
Edmond, OK 73013-8705
Phone (405) 396-2119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT719 | Other | OK | OTR/L |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT719 | OK | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192060800000",
"number": "1023206356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8201 NE 139TH ST",
"city": "EDMOND",
"state": "OK",
"postal_code": "730138705",
"telephone_number": "405-396-2119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1404 NW 122ND ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731148000",
"telephone_number": "405-749-8131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOONE",
"first_name": "KELI",
"middle_name": "A",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-11",
"last_updated": "2007-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OK",
"license": "OT719",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTR/L",
"identifier": "OT719",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.