Organization Active NPI

Keystone Pediatric Therapy, LLC

Doing business as Keystone Pediatric Therapy

  • Pediatric Occupational Therapist
  • Cincinnati, OH
National Provider Identifier
1770189748
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
KEYSTONE PEDIATRIC THERAPY, LLC
Doing business as
Keystone Pediatric Therapy
Practice address
8595 Beechmont Ave Ste 202
Cincinnati, OH 45255-5415
Phone
(513) 278-7006
Fax
(513) 440-7926
NPI assigned
Dec 7, 2020
Last updated
Sep 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Authorized official

Name
Aireal Ishola, OTR/LNPI 1699196477
Title
Occupational Therapist
Phone
(513) 278-7006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X NU Primary

Addresses

Primary practice location

8595 Beechmont Ave Ste 202
Cincinnati, OH 45255-5415

Mailing address

8595 Beechmont Ave Ste 202
Cincinnati, OH 45255-5415
Phone (513) 278-7006

Other practice location 1

1013 Chestnut Ln
Cincinnati, OH 45230-3595
Phone (614) 670-2611

Other names 1

  • Keystone Pediatric Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

8595 Beechmont Ave
Ste 202
Cincinnati, OH 45255
Phone (513) 278-7006

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1770189748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8595 BEECHMONT AVE STE 202",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452555415",
            "telephone_number": "513-278-7006",
            "fax_number": "513-440-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8595 BEECHMONT AVE STE 202",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452555415",
            "telephone_number": "513-278-7006",
            "fax_number": "513-440-7926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1013 Chestnut Ln",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452303595",
            "country_code": "US",
            "telephone_number": "614-670-2611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KEYSTONE PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-07",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "ISHOLA",
        "authorized_official_first_name": "AIREAL",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "513-278-7006",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keystone Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Keystone Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.