Active NPI
Kazumi Keener, OT
- Occupational Therapist
- Fairfax, VA
National Provider Identifier
1104188978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119005426
- Practice address
- 8316 Arlington Blvd
Suite 600
Fairfax, VA 22031-5207 - Phone
- (703) 205-1919
- Fax
- (703) 206-1977
- NPI assigned
- Jun 8, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 0119005426 | VA | Primary |
Addresses
Primary practice location
8316 Arlington Blvd
Suite 600
Fairfax, VA 22031-5207
Mailing address
8316 Arlington Blvd
Suite 600
Fairfax, VA 22031-5207
Phone (703) 205-1919
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Rehabilitation, LLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339113600000",
"number": "1104188978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8316 ARLINGTON BLVD",
"address_2": "SUITE 600",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220315207",
"telephone_number": "703-205-1919",
"fax_number": "703-206-1977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8316 ARLINGTON BLVD",
"address_2": "SUITE 600",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220315207",
"telephone_number": "703-205-1919",
"fax_number": "703-206-1977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEENER",
"first_name": "KAZUMI",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-08",
"last_updated": "2012-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119005426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.