Keely N Anthony, COTA
Individual provider Active NPI Occupational Therapy Assistant · Elkhart, IN
NPI 1649450164 · NPPES record last updated Jun 18, 2010
Key facts
- NPI
- 1649450164
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 32001081A (IN)
- Practice address
- 500 Arcade Ave
Suite 300
Elkhart, IN 46514-2477 - Phone
- (574) 296-9100
- NPI assigned
- Nov 13, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32001081A | IN | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 32001081A | IN | Yes |
Addresses
Primary practice location
500 Arcade Ave
Suite 300
Elkhart, IN 46514-2477
Mailing address
500 Arcade Ave
Suite 300
Elkhart, IN 46514-2477
Phone (574) 296-9100
Other providers in Elkhart, IN
- Camille Adair Andrina
- Angel Hands in Home Care LLC
- Brenda Kay Angier
- Edwin Laryea Annan
- Christopher M. Annis
- Carrie Applegate
- Appointed Time Doula Service
- Brandi Arceneaux
- Ariahomehealthcare
- Abuzafar M. Arif
All providers in Elkhart, IN · Occupational Therapy Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.