Jennifer P. Keene, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

R2876 Issued in KY

Practice address

1600 Scottsville Rd
Suite 101
Bowling Green, KY 42104-3217

Phone

(270) 781-0028

Fax

(270) 781-0007

NPI assigned

Mar 14, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Phoenix Rehab Group, LLC

  • Rehabilitation Clinic/Center
  • Bowling Green, KY
  • NPI 1841261914
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1184693293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 391",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421020391",
            "telephone_number": "270-781-0028",
            "fax_number": "270-781-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SCOTTSVILLE RD",
            "address_2": "SUITE 101",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043217",
            "telephone_number": "270-781-0028",
            "fax_number": "270-781-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENE",
        "first_name": "JENNIFER",
        "middle_name": "P.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "R2876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA HEALTH",
            "identifier": "1220943",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "88000633",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000375311",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohammed Kazimuddin, MD FACC FSCAI
• Nisarfathima Kazimuddin, MD
• Katherine B Kearney Christie
• Phillip M Keeley, MD
• Angela L. Keen, OTR
• Sierra Katherine Keene
• Kristy M Keeney, APRN
• Tiffany Dianne Keeney, MS CCC-SLP
• Keep Your Footing LLC
• Latonya Kees

• Occupational Therapist in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.