Individual provider Active NPI

Patricia Keplinger, COTA

  • Occupational Therapy Assistant
  • Fort Wayne, IN
National Provider Identifier
1033448980
Registry record updated Dec 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
32001394A Issued in IN
Practice address
2940 North Clinton Street
5405 Monarch Dr.
Fort Wayne, IN 46805-7455
Phone
(260) 484-0602
NPI assigned
Dec 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 32001394A IN Primary

Addresses

Primary practice location

2940 North Clinton Street
5405 Monarch Dr.
Fort Wayne, IN 46805-7455

Mailing address

5405 Monarch Dr
Fort Wayne, IN 46815-7455
Phone (260) 493-6143

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

LicenseStateTypeSpecialty
32001394AINMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261526400000",
    "number": "1033448980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 MONARCH DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468157455",
            "telephone_number": "260-493-6143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 NORTH CLINTON STREET",
            "address_2": "5405 MONARCH DR.",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468057455",
            "telephone_number": "260-484-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEPLINGER",
        "first_name": "PATRICIA",
        "name_prefix": "Miss",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-23",
        "last_updated": "2009-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IN",
            "license": "32001394A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; 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.