Keith Kelly Stanley, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2496 Issued in NM

Practice address

1268 E 32ND St
Silver City, NM 88061-7229

Phone

(575) 534-1919

Fax

(575) 534-0135

NPI assigned

Jan 13, 2009

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Bone and Joint Institute, PCGroup PAC ID 5890717508, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Southwest Bone and Joint Institute PC

  • Orthopaedic Surgery Physician
  • Silver City, NM
  • NPI 1841302379

  NM, Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Southwest Bone and Joint Institute PC

  • Orthopaedic Surgery Physician
  • Deming, NM
  • NPI 1386083889
  NPD

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1285871244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1268 E 32ND ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617229",
            "telephone_number": "575-534-1919",
            "fax_number": "575-534-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 E 32ND ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617229",
            "telephone_number": "575-534-1919",
            "fax_number": "575-534-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "KEITH",
        "middle_name": "KELLY",
        "name_prefix": "Mr.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "2496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2496",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Twana Livette Sparks, M.D.
• Cheryl Speir-Phillips, MA, LPCC
• Vladimir Spira, M.D.
• Gail Stamler, CNM
• John M Stanley, M.D.
• Julianne Steenport
• Sharon Lee Stelzl, D.O.
• Brian Stengel
• Donald E Stephens Jr., M.D.
• Nancy Lee Stephens, LISW

• All providers in Silver City, NM
• Occupational Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.