Active NPI
Keely Dohrn, OTR/L, OTD
- Occupational Therapist
- Phoenix, AZ
National Provider Identifier
1205518016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 19829 N 27TH Ave
Phoenix, AZ 85027-4001 - Phone
- (623) 879-6100
- NPI assigned
- Aug 1, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT61631537 | WA | |
| Occupational Therapist | 225X00000X | AZ | Primary |
Addresses
Primary practice location
19829 N 27TH Ave
Phoenix, AZ 85027-4001
Mailing address
253 E Ashurst Dr
Phoenix, AZ 85048-2033
Phone (480) 678-3111
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 |
|---|---|---|---|
| OT61631537 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740960000000",
"number": "1205518016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "253 E ASHURST DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850482033",
"telephone_number": "480-678-3111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19829 N 27TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850274001",
"telephone_number": "623-879-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOHRN",
"first_name": "KEELY",
"credential": "OTR/L, OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-01",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT61631537",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.