Active NPI
Keysa Janice Nieves, OTR/L
- Occupational Therapist
- Simsbury, CT
National Provider Identifier
1922739002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5937
- Practice address
- 142 Cooper Ave
Simsbury, CT 06089 - Phone
- (860) 317-0436
- NPI assigned
- Jun 21, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5937 | CT | Primary |
Addresses
Primary practice location
142 Cooper Ave
Simsbury, CT 06089
Mailing address
101 Marjorie LN
Manchester, CT 06042-2079
Phone (860) 918-6985
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655769600000",
"number": "1922739002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 MARJORIE LN",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060422079",
"telephone_number": "860-918-6985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 COOPER AVE",
"city": "SIMSBURY",
"state": "CT",
"postal_code": "06089",
"telephone_number": "860-317-0436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEVES",
"first_name": "KEYSA",
"middle_name": "JANICE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-21",
"last_updated": "2022-06-21",
"certification_date": "2022-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "5937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Simsbury, CT
- Sarah Netz
- Lawrence John Neureither, D.D.S.
- Jill Elizabeth Nevico
- New England Urgent Care Enfield LLC (New England Urgent Care LLC)
- Bruce Minh Nghiem, D.M.D.
- Northland Hearing Centers, Inc. (Hear Again Center)
- Nourished Life, LLC
- Kellee Marie O'Melia, OTR/L
- Fawn Sheryl Oldham, PT
- Optometric Specialty Group of Simsbury PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.