Kaitlyn Elizabeth Keck, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119009584 Issued in VA

Practice address

19540 Sandridge Way
Leesburg, VA 20176-8286

Phone

(703) 723-3870

NPI assigned

Aug 3, 2022

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

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": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1083341713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43835 TIMBER SQ UNIT 311",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19540 SANDRIDGE WAY",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768286",
            "telephone_number": "703-723-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KECK",
        "first_name": "KAITLYN",
        "middle_name": "ELIZABETH",
        "credential": "OTD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119009584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn D Katz, DNP, FNP-C
• Eve Layne Kaufman
• Michael Andrew Kavanagh, MD
• Edward H Kean, DDS
• Lauren Keating, OTR/L
• Senta Elizabeth Keegan, CRNA
• Brandon Keene
• Jeni A Keene, FNP
• Marcia L Keene, LPC, LMFT, CRP
• Elizabeth Keesler

• Occupational Therapist in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.