Individual provider Active NPI

Keri Cummiskey

  • Occupational Therapist
  • Freehold, NJ
National Provider Identifier
1235462888
Registry record updated Sep 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
10047 Issued in CA
Practice address
51 Piazza Tasso Unit a
Freehold, NJ 07728-5249
Phone
(732) 688-2805
Fax
(732) 252-8809
NPI assigned
Sep 15, 2009
Last updated
Sep 15, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 10047 CA Primary

Addresses

Primary practice location

51 Piazza Tasso Unit a
Freehold, NJ 07728-5249

Mailing address

51 Piazza Tasso Unit a
Freehold, NJ 07728-5249

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

NPI Registry JSON

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252972800000",
    "number": "1235462888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 PIAZZA TASSO UNIT A",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077285249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 PIAZZA TASSO UNIT A",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077285249",
            "telephone_number": "732-688-2805",
            "fax_number": "732-252-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMISKEY",
        "first_name": "KERI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "10047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.