Keenan Russell Schumm, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

210627 Issued in TX

Practice address

3611 N Ware Rd.
McAllen, TX 78501

Phone

(956) 688-6969

NPI assigned

Nov 11, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kidiatric Therapy Services

  • Rehabilitation Clinic/Center
  • McAllen, TX
  • NPI 1952498495
  NPD (past)

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289433600000",
    "number": "1720389463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13016 MAIN ST.",
            "city": "LEO",
            "state": "IN",
            "postal_code": "467659639",
            "telephone_number": "260-804-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 N WARE RD.",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "78501",
            "telephone_number": "956-688-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUMM",
        "first_name": "KEENAN",
        "middle_name": "RUSSELL",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-11",
        "last_updated": "2010-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "210627",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IN",
            "license": "32001772A",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OC60138335",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis James G Saveron
• Addison Sayoc, MD
• Sarah Michelle Scafuri
• Tina Marie Schiefelbein, LCSW SUPERVISOR
• Antonela D Schroeder, DMD
• Schwarz, Cruz, LLP
• Schwarz, Cruz, LLP
• Gary Morgan Schwarz
• Erika Hernandez Schwegler, M.D.
• Sallye Beth Scogin, PA-C

• Occupational Therapy Assistant in McAllen, TX
• Providers in McAllen, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.