Active NPI
Rebecca E Keesling, OTR
- Occupational Therapist
- Manitowoc, WI
National Provider Identifier
1306011002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4558-026
- Practice address
- 1650 S 41St St
Manitowoc, WI 54220-7316 - Phone
- (920) 320-3100
- NPI assigned
- Apr 24, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4558-026 | WI | Primary |
Addresses
Primary practice location
1650 S 41St St
Manitowoc, WI 54220-7316
Mailing address
1650 S 41St St
Manitowoc, WI 54220-7316
Phone (920) 320-3100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41056000 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260319003715 | WI | Practitioner - Occupational Therapist in Private Practice | 1456835206 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advanced Family Chiropractic Clinics Inc
Practice addresses (Care Compare)
1632 N 18TH St
Suite 1
Manitowoc, WI 54220-1858
Phone (920) 652-0116
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4558-026 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Lymphedema and Neuropathy SC | Occupational Therapist | Current | Accepting new patients |
| Advanced Family Chiropractic Clinics Inc | Current | Accepting new patients |
Locations
1632 N 18th St
#1
Manitowoc, WI 54220
Phone (920) 652-0116
1400 Washington St
Ste 2
Two Rivers, WI 54241
Phone (920) 652-0116
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 and National Provider Directory roles.
-
- Occupational Therapist
- Manitowoc, WI
- NPI 1992635825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637625600000",
"number": "1306011002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 S 41ST ST",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542207316",
"telephone_number": "920-320-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 S 41ST ST",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542207316",
"telephone_number": "920-320-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEESLING",
"first_name": "REBECCA",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-24",
"last_updated": "2021-11-23",
"certification_date": "2021-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "4558-026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41056000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manitowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.