Active NPI
Wendy L Keller, OTR/L
- Occupational Therapist
- Pasadena, CA
National Provider Identifier
1447437207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 10496
- Practice address
- 125 S Sierra Madre Blvd Unit 210
Pasadena, CA 91107-4140 - Phone
- (661) 714-1455
- Fax
- (626) 395-7879
- NPI assigned
- Jan 23, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 10496 | CA | Primary |
Addresses
Primary practice location
125 S Sierra Madre Blvd Unit 210
Pasadena, CA 91107-4140
Mailing address
125 S Sierra Madre Blvd Unit 210
Pasadena, CA 91107-4140
Phone (661) 714-1455
Other practice location 1
1216 N Brand Blvd Apt 6
Glendale, CA 91202-1947
Phone (661) 714-1455
Other names 1
- Wendy Leigh Keller
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 |
|---|---|---|---|
| 10496 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lkpress-Otr | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Glendale, CA
- NPI 1003215617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551398400000",
"number": "1447437207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 S SIERRA MADRE BLVD UNIT 210",
"city": "PASADENA",
"state": "CA",
"postal_code": "911074140",
"telephone_number": "661-714-1455",
"fax_number": "818-244-4729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 S SIERRA MADRE BLVD UNIT 210",
"city": "PASADENA",
"state": "CA",
"postal_code": "911074140",
"telephone_number": "661-714-1455",
"fax_number": "626-395-7879"
}
],
"practiceLocations": [
{
"address_1": "1216 N Brand Blvd Apt 6",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "CA",
"postal_code": "912021947",
"country_code": "US",
"telephone_number": "661-714-1455",
"fax_number": "818-244-4729",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KELLER",
"first_name": "WENDY",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-23",
"last_updated": "2019-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "10496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WENDY",
"last_name": "KELLER",
"middle_name": "LEIGH",
"credential": "MA, MCM, OTR/L",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.