Active NPI
Megan Keithly, MOT, OTR/L
- Occupational Therapist
- Ladera Ranch, CA
National Provider Identifier
1205504644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 16400
- Practice address
- 2000 Corporate Dr Apt 516
Ladera Ranch, CA 92694-1113 - Phone
- (949) 292-7457
- NPI assigned
- Aug 31, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 16400 | CA | Primary |
Addresses
Primary practice location
2000 Corporate Dr Apt 516
Ladera Ranch, CA 92694-1113
Mailing address
2000 Corporate Dr Apt 516
Ladera Ranch, CA 92694-1113
Phone (949) 292-7457
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16400 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630368000000",
"number": "1205504644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 CORPORATE DR APT 516",
"city": "LADERA RANCH",
"state": "CA",
"postal_code": "926941113",
"telephone_number": "949-292-7457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 CORPORATE DR APT 516",
"city": "LADERA RANCH",
"state": "CA",
"postal_code": "926941113",
"telephone_number": "949-292-7457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEITHLY",
"first_name": "MEGAN",
"credential": "MOT, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-31",
"last_updated": "2021-08-31",
"certification_date": "2021-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "16400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ladera Ranch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.