Active NPI
Maureen A Keller, COTA/L
- Occupational Therapy Assistant
- Seven Hills, OH
National Provider Identifier
1760580146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 00629
- Practice address
- 5700 Lombardo Ctr Ste 205
Seven Hills, OH 44131-6962 - Phone
- (180) 098-9114
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 00629 | OH | Primary |
Addresses
Primary practice location
5700 Lombardo Ctr Ste 205
Seven Hills, OH 44131-6962
Mailing address
1491 Munroe Falls Ave
Cuyahoga Falls, OH 44221-3674
Phone (330) 926-0322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00629 | OH | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760580146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1491 MUNROE FALLS AVE",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442213674",
"telephone_number": "330-926-0322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 LOMBARDO CTR STE 205",
"city": "SEVEN HILLS",
"state": "OH",
"postal_code": "441316962",
"telephone_number": "180-098-9114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "MAUREEN",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "OH",
"license": "00629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seven Hills, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.