Active NPI
Keeley Sommers, OTR
- Occupational Therapist
- Wauwatosa, WI
National Provider Identifier
1437567179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5521-26
- Practice address
- 4545 N 92ND St
Wauwatosa, WI 53225-4807 - Phone
- (414) 847-5101
- NPI assigned
- Jul 25, 2014
- Last updated
- Dec 21, 2016
- 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 | 5521-26 | WI | Primary |
Addresses
Primary practice location
4545 N 92ND St
Wauwatosa, WI 53225-4807
Mailing address
4949 W Kathleen LN
Mequon, WI 53092-4521
Phone (954) 249-1401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5521-26 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482278400000",
"number": "1437567179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4949 W KATHLEEN LN",
"city": "MEQUON",
"state": "WI",
"postal_code": "530924521",
"telephone_number": "954-249-1401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4545 N 92ND ST",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532254807",
"telephone_number": "414-847-5101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOMMERS",
"first_name": "KEELEY",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-25",
"last_updated": "2016-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "5521-26",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.