Nicolette Keale

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

2440 Route 34
Manasquan, NJ 08736-1808

Phone

(732) 612-9948

NPI assigned

Mar 25, 2022

Last updated

Mar 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast Sports Medicine Group, PCGroup PAC ID 3173580511, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Northeast Sports Medicine Group, PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Point Pleasant Boro, NJ
  • NPI 1811010549
  Medicare reassignment Care Compare group
• Northeast Surgery Associates LLC

  • Orthopaedic Surgery Physician
  • Manasquan, NJ
  • NPI 1356929632
  NPD

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1740930403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 ROUTE 34",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361808",
            "telephone_number": "173-261-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 ROUTE 34",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361808",
            "telephone_number": "732-612-9948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEALE",
        "first_name": "NICOLETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph M. Springer, PH.D., LLC
• Joshua D Wolpert MD LLC
• Just Be Counseling, LLC
• Atul F Kamath, MD
• Ravi Kapoor, PHARM D
• Ruth S Kearney, M.ED.,CCC/SLP
• Michael Keelan, MD
• Michael P Keenan, OWNER, KMFITNESS
• Jill Patricia Keer, MS, RDN
• John R Keller, RPH

• Occupational Therapist in Manasquan, NJ
• Providers in Manasquan, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.