Individual provider Active NPI

Cynthia Joan Keeney, OTR

  • Occupational Therapist
  • Portland, OR
National Provider Identifier
1891997003
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
529339 Issued in OR
Practice address
7721 SW 34TH Ave
Portland, OR 97219-1725
Phone
(503) 452-7767
Fax
(503) 452-7766
NPI assigned
Jun 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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 529339 OR Primary

Addresses

Primary practice location

7721 SW 34TH Ave
Portland, OR 97219-1725

Mailing address

7721 SW 34TH Ave
Portland, OR 97219-1725
Phone (503) 452-7767

Other names 1

  • Miss Cynthia Joan Alvarado Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
529339ORMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Joe Keeney Physical Therapy, Inc. Occupational Therapist Past Accepting new patients
Joe Keeney Physical Therapy, Inc 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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1891997003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7721 SW 34TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972191725",
            "telephone_number": "503-452-7767",
            "fax_number": "503-452-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7721 SW 34TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972191725",
            "telephone_number": "503-452-7767",
            "fax_number": "503-452-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENEY",
        "first_name": "CYNTHIA",
        "middle_name": "JOAN",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "529339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "ALVARADO",
            "middle_name": "JOAN",
            "prefix": "MISS",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.