Brandy S McKeown, OTR/L, CLT-LANA

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT 003246 Issued in GA

Practice address

808 Ward St W
Douglas, GA 31533-3514

Phone

(912) 383-0559

Fax

(912) 383-0614

NPI assigned

Aug 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rehabilitation Services of Coffee, Inc 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rehabilitation Services of Coffee, Inc

  • Physical Therapist
  • Douglas, GA
  • NPI 1255440517

  GA, Occupational Therapist

  Medicare reassignment Care Compare group NPD
• The Lymphedema Center, LLC

  • Physical Rehabilitation Occupational Therapist
  • Tifton, GA
  • NPI 1013710441

  GA

  Medicare reassignment NPD Authorized official
• Rehabilitation Services of Tifton, Inc.

  • Speech-Language Pathologist
  • Tifton, GA
  • NPI 1710958855

  Occupational Therapist

  NPD (past)
• Lymphatic Wellness Center, LLC

  • Occupational Therapist
  • St Augustine, FL
  • NPI 1386686186
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283817600000",
    "number": "1255348579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2150",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317932150",
            "telephone_number": "912-383-0559",
            "fax_number": "912-383-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 WARD ST W",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315333514",
            "telephone_number": "912-383-0559",
            "fax_number": "912-383-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEOWN",
        "first_name": "BRANDY",
        "middle_name": "S",
        "credential": "OTR/L, CLT-LANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2010-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT 003246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "624055411A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "624055411B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Simmons McCrary, PHARMD
• Teresa Lynn McElroy, M ED CCC/SLP
• McGovern Dental, LLC
• Justin McGovern, D.M.D.
• Daren McKean, DC
• Melissa Miller McKinney, PSY.D., LPC
• Charles Dylan McLean
• Kristen McMillan
• Alexis Marie McNeill, PA-C
• McRaes Pharmacy of Douglas Inc

• All providers in Douglas, GA
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.