Individual provider Active NPI

Mindy Ann Keator, OTR

  • Occupational Therapist
  • Kennett Square, PA
National Provider Identifier
1215028568
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC008798 Issued in PA
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
Last updated
Oct 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

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

LicenseStateTypeSpecialty
013012NYMDMental Health Counselor
OC008798PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Today Services for Psychology Et Al PLLC Past Accepting new patients
Rehabilitation Today Physical Therapy and Occupational Therapy PLLC Occupational Therapist PastSince Sep 15, 2016 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": [],
    "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.

Verify at the official NPI Registry.