Keely Beth Surprenant, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

118113 Issued in TX

Practice address

101 Uhland Rd
Suite 112
San Marcos, TX 78666-6630

Phone

(512) 396-0872

NPI assigned

Oct 7, 2008

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1821249053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 GODE LN",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306855",
            "telephone_number": "830-832-5139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 UHLAND RD",
            "address_2": "SUITE 112",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786666630",
            "telephone_number": "512-396-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURPRENANT",
        "first_name": "KEELY",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "210265",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "118113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Stutes, LCDC
• Joseph Claberon Sullivan III, DDS
• Sunrise Rehab and Recovery, LLC
• Surgexcel First Assistants
• Surgical Associates of Central Texas, P.a.
• Sophia Sutherlun, LCSW
• Erin M Swaim, LAT, ATC, CES
• Stephen Swearingen, MD
• Carey Michelle Sweet, ARNP-C
• Madelyn Elaine Swinney, DDS

• Occupational Therapist in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.