Jill Ann Keirstead, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2999 Issued in MA

Practice address

589 Highland Ave
Needham, MA 02494-2205

Phone

(781) 455-9090

NPI assigned

Jun 4, 2007

Sex

Female

Sole proprietor

No

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114129038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 STEARNS HILL RD",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024513348",
            "telephone_number": "781-899-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "589 HIGHLAND AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024942205",
            "telephone_number": "781-455-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIRSTEAD",
        "first_name": "JILL",
        "middle_name": "ANN",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MA",
            "license": "2999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noah Kaufman
• Noreen Kavanaugh, LICSW
• Paul Anthony Keefe, M.D.
• Mark H. Keeler, PH.D.
• Juliana Keene, LICSW
• Thornton Kell Jr., MD
• Deirdre May Kelley, LICAC
• Maura Ann Kelley, M.D.
• Robert H. Kelley, LICSW
• Karen Anne Kelly

• Occupational Therapy Assistant in Needham, MA
• Providers in Needham, MA by specialty
• Occupational Therapy Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.