Jennifer Keene, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201007670 Issued in MI

Practice address

2828 Concord St
Traverse City, MI 49684-4618

Phone

(231) 346-2727

NPI assigned

Dec 23, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1293062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1801190335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 CREEK LNDG",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488409765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 CONCORD ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844618",
            "telephone_number": "231-346-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2950 Lafranier Rd",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496864918",
            "country_code": "US",
            "telephone_number": "231-947-0506",
            "fax_number": "231-947-0744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEENE",
        "first_name": "JENNIFER",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "113695",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201007670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaac Kaufman, M.D.
• Kerry M Kaysserian, DDS
• Kendra Kearney, MSW
• Amy N Keck, LMSW
• Amy Joan Keen, FNP-BC
• John Charles Keep, MD
• Grace Keilty, LLPC
• Jaclyn N Keiper, CRNA
• Keira Duvernoy, DO, PC
• Anna Keith, NP

• Occupational Therapist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.