Keldi Ranae McKinley, MOTR/L
Individual provider Active NPI Occupational Therapist · Weed, NM
NPI 1093351330 · NPPES record last updated Mar 20, 2025
Key facts
- NPI
- 1093351330
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT3680 (NM)
- Practice address
- 12 Wild Rd
Weed, NM 88354-8835 - Phone
- (505) 917-7202
- NPI assigned
- Nov 21, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201006001239 | NM | Practitioner - Occupational Therapist in Private Practice | 7911326269 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gallien Inc | Current |
Accepting new patients |
Locations
1809 Indian Wells Rd
Alamogordo, NM 88310
Phone (505) 437-1967
1451 Galway Dr
Alamogordo, NM 88310
Phone (575) 437-1967
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT3680 | NM | Yes |
Addresses
Primary practice location
12 Wild Rd
Weed, NM 88354-8835
Mailing address
PO Box 475
Weed, NM 88354-0475
Phone (505) 917-7202
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.