Individual provider Active NPI

Amanda J Keckler, OTR/L

  • Occupational Therapist
  • New Castle, PA
National Provider Identifier
1033495478
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC012074 Issued in PA
Practice address
1816 Kings Chapel Rd
New Castle, PA 16105-4824
Phone
(724) 654-9598
NPI assigned
Oct 31, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC012074 PA Primary

Addresses

Primary practice location

1816 Kings Chapel Rd
New Castle, PA 16105-4824

Mailing address

1816 Kings Chapel Rd
New Castle, PA 16105-4824
Phone (724) 654-9598

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
OC012074PAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1033495478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 KINGS CHAPEL RD",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161054824",
            "telephone_number": "724-654-9598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 KINGS CHAPEL RD",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161054824",
            "telephone_number": "724-654-9598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KECKLER",
        "first_name": "AMANDA",
        "middle_name": "J",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-31",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC012074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.