Active NPI
Keith Thomas Parker, MOT, OTR/L
- Occupational Therapist
- Harrisburg, PA
National Provider Identifier
1497083695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC010937
- Practice address
- 4424 Venus Ave
Harrisburg, PA 17112-9122 - Phone
- (302) 690-6993
- NPI assigned
- Nov 27, 2009
- Sex
- Male
- 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 | OC010937 | PA | Primary |
Addresses
Primary practice location
4424 Venus Ave
Harrisburg, PA 17112-9122
Mailing address
1926 Market St
Camp Hill, PA 17011-4701
Phone (717) 506-5668
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 |
|---|---|---|---|
| OC010937 | PA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Growing in Motion | Occupational Therapist | Current | Accepting new patients |
| My Therapy Tree, LLC | Occupational Therapist | Past | Accepting new patients |
Locations
1926 Market St
Camp Hill, PA 17011
Phone (717) 506-5668
2104 Aspen Dr
Mechanicsburg, PA 17055
Phone (717) 506-5668
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
- Camp Hill, PA
- NPI 1568926806
-
- Occupational Therapist
- Harrisburg, PA
- NPI 1841733771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638316800000",
"number": "1497083695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1926 MARKET ST",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170114701",
"telephone_number": "717-506-5668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4424 VENUS AVE",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171129122",
"telephone_number": "302-690-6993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "KEITH",
"middle_name": "THOMAS",
"credential": "MOT, OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-27",
"last_updated": "2021-12-01",
"certification_date": "2021-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC010937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.