Active NPI
Cherie Casing Keogh-Dodge, M.A., OTR/L
- Occupational Therapist
- Liberty, MO
National Provider Identifier
1730346610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2014034968
- 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, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5067-026 | WI | MD | Occupational Therapist |
| 9759 | CA | MD | Hand Occupational Therapist |
| 13354 | FL | MD | Hand Occupational Therapist |
| 5067 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teton Hand Therapy LLC | Occupational Therapist | Current | Accepting new patients |
| Teton Hand Therapy, Inc. | Current | 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.
-
- Hand Occupational Therapist
- Jackson, WY
- NPI 1215086905
-
dba Teton Hand Therapy LLC
- Durable Medical Equipment & Medical Supplies
- Gunnison, CO
- NPI 1962785626
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.