Individual provider Active NPI

Keith Thomas Parker, MOT, OTR/L

  • Occupational Therapist
  • Harrisburg, PA
National Provider Identifier
1497083695
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC010937 Issued in PA
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

Updated by the provider on Dec 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
OC010937PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.