Active NPI
Mindy Ann Keator, OTR
- Occupational Therapist
- Kennett Square, PA
National Provider Identifier
1215028568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC008798
- Practice address
- 101 E State St.
Genesis Rehabilitation Services
Kennett Square, PA 19348 - Phone
- (814) 368-5648
- Fax
- (814) 368-4522
- NPI assigned
- Sep 28, 2006
- 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 | 013012 | NY | |
| Occupational Therapist | 225X00000X | OC008798 | PA | Primary |
Addresses
Primary practice location
101 E State St.
Genesis Rehabilitation Services
Kennett Square, PA 19348
Mailing address
101 State St
Rehabilitation Today
Bradford, PA 16701-1122
Phone (814) 368-5648
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00011264701 | Other | UNIVERA | |
| 000670162001 | Other | WNYBCBS | |
| 1699692 | Other | GHI | |
| 22361607 | Other | MPN EMPIRE PLAN | |
| 001547543 | Other | KEYSTONE SELECT BLUE | |
| 02532543 | Medicaid | NY | |
| 100847694 | Medicaid | PA | |
| 175626062 | Other | TRICARE | |
| 22361607 | Other | NORTH AMERICAN HEALTH PLA | |
| 223616077 | Other | UNITED HEALTHCARE | |
| 223616077 | Other | INTER GROUP | |
| 223616077 | Other | NOVA | |
| 223616077 | Other | FIDELIS | |
| 240033 | Other | HEALTH AMERICA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013012 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabilitation Today Physical Therapy and Occupational Therapy PLLC | Occupational Therapist | Past | Accepting new patients |
| Rehabilitation Today Services for Psychology Et Al PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Olean, NY
- NPI 1972688653
Occupational Therapist
-
- Multi-Specialty Clinic/Center
- Olean, NY
- NPI 1396842811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414022400000",
"number": "1215028568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 STATE ST",
"address_2": "REHABILITATION TODAY",
"city": "BRADFORD",
"state": "PA",
"postal_code": "167011122",
"telephone_number": "814-368-5648",
"fax_number": "814-368-2245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E STATE ST.",
"address_2": "GENESIS REHABILITATION SERVICES",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "19348",
"telephone_number": "814-368-5648",
"fax_number": "814-368-4522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEATOR",
"first_name": "MINDY",
"middle_name": "ANN",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2014-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "013012",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC008798",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00011264701",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WNYBCBS",
"identifier": "000670162001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "1699692",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MPN EMPIRE PLAN",
"identifier": "22361607",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE SELECT BLUE",
"identifier": "001547543",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02532543",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100847694",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "175626062",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH AMERICAN HEALTH PLA",
"identifier": "22361607",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "223616077",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTER GROUP",
"identifier": "223616077",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NOVA",
"identifier": "223616077",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "223616077",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA",
"identifier": "240033",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Kennett Square, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.