Individual provider Active NPI

Cherie Casing Keogh-Dodge, M.A., OTR/L

  • Occupational Therapist
  • Liberty, MO
National Provider Identifier
1730346610
Registry record updated Mar 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2014034968 Issued in MO
Practice address
398 Blue Jay Dr
Liberty, MO 64068-1977
Phone
(816) 407-2315
Fax
(816) 407-1555
NPI assigned
May 19, 2008
Last updated
Mar 15, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5067-026 WI
Hand Occupational Therapist 225XH1200X 9759 CA
Hand Occupational Therapist 225XH1200X 13354 FL
Occupational Therapist 225X00000X 2014034968 MO Primary

Addresses

Primary practice location

398 Blue Jay Dr
Liberty, MO 64068-1977

Mailing address

2609 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 407-4555

Other names 1

  • Cherie Casing Keogh Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231128003236 WY Practitioner - Occupational Therapist in Private Practice 6204008782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Teton Hand Therapy LLCGroup PAC ID 4385549443, 4 clinicians

Practice addresses (Care Compare)

310 E Broadway
Jackson, WY 83001-9496
Phone (307) 734-2877

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
5067-026WIMDOccupational Therapist
9759CAMDHand Occupational Therapist
13354FLMDHand Occupational Therapist
5067WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Teton Hand Therapy LLC Occupational Therapist CurrentSince Nov 1, 2023 Accepting new patients
Teton Hand Therapy, Inc. CurrentSince Nov 1, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1730346610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 GLENN HENDREN DR",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "64068",
            "telephone_number": "816-407-4555",
            "fax_number": "816-781-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 BLUE JAY DR",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681977",
            "telephone_number": "816-407-2315",
            "fax_number": "816-407-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEOGH-DODGE",
        "first_name": "CHERIE",
        "middle_name": "CASING",
        "name_prefix": "Mrs.",
        "credential": "M.A., OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "5067-026",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "9759",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "FL",
            "license": "13354",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2014034968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERIE",
            "last_name": "KEOGH",
            "middle_name": "CASING",
            "credential": "M.A., OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Liberty, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.