Jasmine N Kerley, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057.005536 Issued in IL

Practice address

5443 S Brookstone Dr
Rochelle, IL 61068-9133

Phone

(815) 708-9187

NPI assigned

Feb 12, 2021

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 29, 2021.

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1669065371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5443 S BROOKSTONE DR",
            "city": "ROCHELLE",
            "state": "IL",
            "postal_code": "610689133",
            "telephone_number": "815-708-9187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5443 S BROOKSTONE DR",
            "city": "ROCHELLE",
            "state": "IL",
            "postal_code": "610689133",
            "telephone_number": "815-708-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERLEY",
        "first_name": "JASMINE",
        "middle_name": "N",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057.005536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britney Keehler
• Tim Ryan Keehler, RSA
• Wanda Gay Keehler
• Mikaela Keeney
• Rachel Kennedy
• Riazulla Khan
• Jessica Kiekens, MSW
• Kent J Kjellstrom, MPT
• Andrew Koenig
• Joan K Koolidge, MPT

• All providers in Rochelle, IL
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.