Active NPI
Tracy Keenan, OTRL
- Occupational Therapist
- Claremont, NH
National Provider Identifier
1891817789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1623
- Practice address
- 5 Nursing Home Dr
Claremont, NH 03743-7344 - Phone
- (603) 542-9511
- NPI assigned
- Apr 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1623 | NH | Primary |
| Occupational Therapist | 225X00000X | 0720000536 | VT |
Addresses
Primary practice location
5 Nursing Home Dr
Claremont, NH 03743-7344
Mailing address
64 E Mountain Rd
Newport, NH 03773-1961
Phone (603) 863-5784
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0720000536 | VT | MD | Occupational Therapist |
| 1623 | NH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891817789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 E MOUNTAIN RD",
"city": "NEWPORT",
"state": "NH",
"postal_code": "037731961",
"telephone_number": "603-863-5784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 NURSING HOME DR",
"city": "CLAREMONT",
"state": "NH",
"postal_code": "037437344",
"telephone_number": "603-542-9511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEENAN",
"first_name": "TRACY",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NH",
"license": "1623",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VT",
"license": "0720000536",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Claremont, NH
Sources for this page
- 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.