Active NPI
Sydni Keesler
- Occupational Therapist
- Olean, NY
National Provider Identifier
1619704905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 029536
- Practice address
- 1626 Washington St
Olean, NY 14760-1935 - Phone
- (716) 375-8960
- NPI assigned
- Sep 19, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 63-P131185-01 | NY | |
| Occupational Therapist | 225X00000X | 029536 | NY | Primary |
Addresses
Primary practice location
1626 Washington St
Olean, NY 14760-1935
Mailing address
935 High St
Bradford, PA 16701-3814
Phone (814) 363-7118
Other practice location 1
410 W Sullivan St
Olean, NY 14760-2522
Phone (716) 375-8001
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 |
|---|---|---|---|
| 63-P131185-01 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ca Boces | 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.
-
- Developmentally Disabled Services Day Training Agency
- Olean, NY
- NPI 1679956460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1619704905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "935 HIGH ST",
"city": "BRADFORD",
"state": "PA",
"postal_code": "167013814",
"telephone_number": "814-363-7118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1626 WASHINGTON ST",
"city": "OLEAN",
"state": "NY",
"postal_code": "147601935",
"telephone_number": "716-375-8960"
}
],
"practiceLocations": [
{
"address_1": "410 W Sullivan St",
"address_purpose": "LOCATION",
"city": "Olean",
"state": "NY",
"postal_code": "147602522",
"country_code": "US",
"telephone_number": "716-375-8001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEESLER",
"first_name": "SYDNI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-19",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "63-P131185-01",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "029536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olean, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.