Caroline Fisher Keck

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

10265 Issued in CA

Practice address

754 14TH St
Manhattan Beach, CA 90266-4901

Phone

(310) 606-9698

NPI assigned

Jul 31, 2007

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

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1851581227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 14TH ST",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902664901",
            "telephone_number": "310-606-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 14TH ST",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902664901",
            "telephone_number": "310-606-9698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2417 E Walnut St",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "91107",
            "country_code": "US",
            "telephone_number": "626-793-5141",
            "fax_number": "626-577-4988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KECK",
        "first_name": "CAROLINE",
        "middle_name": "FISHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "10265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Lauren Katz, LMFT
• Sara Michelle Katz
• Tracy Carol Kawamura, OD
• Rosanne Kay, MD
• Susan Kaye, FNP
• Keith S. Feder MD, Inc.
• Diane Renee Kelley, PH.D.
• Lea Kelley, D.C., L.AC.
• Marie Rusher Kelley, M.D.
• Kelly Psychiatric Associates, Inc.

• Pediatric Occupational Therapist in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.