Individual provider Active NPI

Brian M Keene, OTD, OTR/L

  • Occupational Therapist
  • Phoenix, AZ
National Provider Identifier
1265087738
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTH-007887 Issued in AZ
Practice address
555 N 5TH Ave Apt 350
Phoenix, AZ 85003-0805
Phone
(623) 336-1766
Fax
(602) 926-8000
NPI assigned
Aug 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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 OTH-007887 AZ Primary

Addresses

Primary practice location

555 N 5TH Ave Apt 350
Phoenix, AZ 85003-0805

Mailing address

555 N 5TH Ave Apt 350
Phoenix, AZ 85003-0805
Phone (623) 336-1766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200210000953 AZ Practitioner - Occupational Therapist in Private Practice 7416383518 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTH-007887AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tranquility Wellness Solutions, LLC Occupational Therapist CurrentSince Apr 26, 2020 Accepting new patients
Solace Pediatric Healthcare Therapy Services Az, Inc. Occupational Therapist CurrentSince Dec 22, 2019 Accepting new patients
Pioneer Pet, LLC PastSince Aug 6, 2019 Accepting new patients

Locations

1930 E Southern Ave
Tempe, AZ 85282
Phone (480) 456-0719

60 E Rio Salado Pkwy
Ste 900
Tempe, AZ 85281
Phone (480) 456-0719

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1265087738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N 5TH AVE APT 350",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850030805",
            "telephone_number": "623-336-1766",
            "fax_number": "602-926-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N 5TH AVE APT 350",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850030805",
            "telephone_number": "623-336-1766",
            "fax_number": "602-926-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENE",
        "first_name": "BRIAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-01",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-007887",
            "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 Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.