Individual provider Active NPI

Anna Keenaghan, MA, OTR/L

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1518106905
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
006493-1 Issued in NY
Practice address
9306 4TH Ave
Brooklyn, NY 11209-7005
Phone
(718) 238-7451
NPI assigned
Feb 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

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 006493-1 NY Primary

Addresses

Primary practice location

9306 4TH Ave
Brooklyn, NY 11209-7005

Mailing address

9306 4TH Ave
Brooklyn, NY 11209-7005
Phone (718) 238-7451

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
006493-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Anna K. Occupational Therapist PC 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.

NPI Registry JSON

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234137600000",
    "number": "1518106905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9306 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097005",
            "telephone_number": "718-238-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9306 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097005",
            "telephone_number": "718-238-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENAGHAN",
        "first_name": "ANNA",
        "credential": "MA, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "006493-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; 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.