Individual provider Active NPI

Sharon A Keefe, OTR

  • Hand Occupational Therapist
  • Boynton Beach, FL
National Provider Identifier
1790813012
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT0001313 Issued in FL
Practice address
3301 W Boynton Beach Blvd
Suite #2
Boynton Beach, FL 33436-4642
Phone
(561) 736-8380
Fax
(561) 752-8528
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT0001313 FL
Hand Occupational Therapist 225XH1200X OT0001313 FL Primary

Addresses

Primary practice location

3301 W Boynton Beach Blvd
Suite #2
Boynton Beach, FL 33436-4642

Mailing address

PO Box 694
Jupiter, FL 33468-0694
Phone (561) 736-8380

Other identifiers 1

IdentifierTypeStateIssuer
Z7433OtherFLBCBS ID

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT0001313FLMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bolduc Physical Therapy Inc PastSince Oct 3, 2003 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1790813012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 694",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334680694",
            "telephone_number": "561-736-8380",
            "fax_number": "561-752-8528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 W BOYNTON BEACH BLVD",
            "address_2": "SUITE #2",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364642",
            "telephone_number": "561-736-8380",
            "fax_number": "561-752-8528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEFE",
        "first_name": "SHARON",
        "middle_name": "A",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT0001313",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "FL",
            "license": "OT0001313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "Z7433",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.