Keitoria Raychelle Lacount

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00432800 Issued in NJ

Practice address

115 Sunset Rd
Burlington, NJ 08016-4153

Phone

(609) 387-3620

NPI assigned

Apr 26, 2007

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

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2005

Medicare assignment

May accept Medicare assignment

Group practices

Holistic Occupational and Physical Therapy LLC 4 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.

• Holistic Occupational and Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Atlanta, GA
  • NPI 1952779043

  GA

  Medicare reassignment Care Compare group NPD Authorized official
• Legacy Healthcare Services, Inc.

  • Physical Therapist
  • Dawsonville, GA
  • NPI 1528419751

  GA, Occupational Therapist

  Medicare reassignment NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356561096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E WILLOW GROVE AVE APT 606",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191184429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SUNSET RD",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080164153",
            "telephone_number": "609-387-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACOUNT",
        "first_name": "KEITORIA",
        "middle_name": "RAYCHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00432800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Danielle Krajnikovich, CRNP
• Heather Krawsek, RD, RDN
• Renai Kraytem, LCSW
• Fleta Krebs, LPN
• Patrick Paul La Croix, MPT
• Nicole Lacy
• Danielle Lamaine
• Eileen Marie Lancaster, AU.D.
• Geraldine Lancieri, MA, LPC
• Joanne Sylvia Lane, D.O.

• All providers in Burlington, NJ
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.