Individual provider Active NPI

Timothy Scott Keese, OTR

  • Occupational Therapist
  • Carrollton, TX
National Provider Identifier
1821252677
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
110804 Issued in TX
Practice address
1912 E Hebron Pkwy
104
Carrollton, TX 75007-1531
Phone
(972) 492-0383
NPI assigned
Jul 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 110804 TX Primary

Addresses

Primary practice location

1912 E Hebron Pkwy
104
Carrollton, TX 75007-1531

Mailing address

1912 E Hebron Pkwy
104
Carrollton, TX 75007-1531
Phone (972) 492-0383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201027000360 LA Practitioner - Occupational Therapist in Private Practice 7719049782 Practice locations: Metairie, LA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Scientific Therapy PC Occupational Therapist Past Accepting new patients
Alliance Pain Centers, PC Past Accepting new patients

Organizations & group practices 2

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": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215648000000",
    "number": "1821252677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 E HEBRON PKWY",
            "address_2": "104",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750071531",
            "telephone_number": "972-492-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 E HEBRON PKWY",
            "address_2": "104",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750071531",
            "telephone_number": "972-492-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEESE",
        "first_name": "TIMOTHY",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "110804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.