Active NPI
Benjamin Houston Keeling, MSOT
- Occupational Therapist
- Roswell, GA
National Provider Identifier
1104395813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 11660 Alpharetta Hwy Ste 200
Roswell, GA 30076-3874 - Phone
- (404) 436-7416
- Fax
- (770) 643-0869
- NPI assigned
- Nov 26, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary | ||
| Pediatric Occupational Therapist | 225XP0200X |
Addresses
Primary practice location
11660 Alpharetta Hwy Ste 200
Roswell, GA 30076-3874
Mailing address
5222 Camden Lake Pkwy NW
Acworth, GA 30101-8050
Phone (404) 436-7416
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT007214 | Other | GA | GEORGIA LICENSE |
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 |
|---|---|---|---|
| Teamup Therapy 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": "1543190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1104395813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5222 CAMDEN LAKE PKWY NW",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301018050",
"telephone_number": "404-436-7416",
"fax_number": "770-643-0869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11660 ALPHARETTA HWY STE 200",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300763874",
"telephone_number": "404-436-7416",
"fax_number": "770-643-0869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEELING",
"first_name": "BENJAMIN",
"middle_name": "HOUSTON",
"credential": "MSOT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-26",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA LICENSE",
"identifier": "OT007214",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.