Jade Keiner, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

201246 Issued in MN

Practice address

3700 Cedar Lake Ave
Minneapolis, MN 55416-4240

Phone

(612) 925-7247

NPI assigned

May 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841406683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 CEDAR LAKE AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554164240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 CEDAR LAKE AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554164240",
            "telephone_number": "612-925-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEINER",
        "first_name": "JADE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MN",
            "license": "201246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Marie Kehle-Forbes, PH.D., L.P.
• Kathleen Kehoe, OT
• Eric N Kehrberg, MD
• Ellen Lisbeth Kein, LICSW
• Cathrine Marie Keiner, MD
• Jamila Keisar, LICSW
• Keith a. Horton, M.D., P.a.
• Benjamin Keith, MD
• Bonnie Jean Keith
• Tracy B Keizer, PA

• Occupational Therapy Assistant in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Occupational Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.