Denallia Keller, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

18-00470 Issued in KS

Practice address

1223 Orchard LN
Baldwin City, KS 66006-4011

Phone

(785) 594-6492

NPI assigned

Jan 20, 2015

Last updated

Jan 20, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Denallia Bonner Former name

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.

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1740679497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 S CLAIRBORNE RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660622138",
            "telephone_number": "913-449-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 ORCHARD LN",
            "city": "BALDWIN CITY",
            "state": "KS",
            "postal_code": "660064011",
            "telephone_number": "785-594-6492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "DENALLIA",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "KS",
            "license": "18-00470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENALLIA",
            "last_name": "BONNER",
            "credential": "COTA/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cameron Jackson, DPT
• Ethan James, DC
• Janice Rawls
• Jenniferkubinnp (Prairie Psychiatric Care)
• Jones Family Practice
• Margaret Elizabeth Keller, OTR
• Haley M Kellum
• Kaci Renee Kesinger, RN
• Patricia Kilkenny, RPT
• Jennifer Kubin, APRN

• Occupational Therapy Assistant in Baldwin City, KS
• Providers in Baldwin City, KS by specialty
• Occupational Therapy Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.