Individual provider Active NPI

Allison Keidel

  • Occupational Therapist
  • Mason, OH
National Provider Identifier
1952273591
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT006595 Issued in OH
Practice address
5535 Irwin Simpson Rd
Mason, OH 45040-8107
Phone
(330) 919-9575
Fax
(330) 919-9576
NPI assigned
Sep 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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 OT006595 OH Primary

Addresses

Primary practice location

5535 Irwin Simpson Rd
Mason, OH 45040-8107

Mailing address

986 Tibbetts Wick Rd BLDG 2
Girard, OH 44420-1138
Phone (330) 919-9575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251002004893 OH Practitioner - Occupational Therapist in Private Practice 7911403407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patriot Outpatient Therapy, LLCGroup PAC ID 7315461795, 16 clinicians

Practice addresses (Care Compare)

5535 Irwin Simpson Rd
Mason, OH 45040-8107
Phone (330) 919-9575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT006595OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Patriot Outpatient Therapy, LLC CurrentSince Sep 23, 2025 Accepting new patients

Locations

986 Tibbetts Wick Rd
Girard, OH 44420
Phone (330) 306-9651

986 Tibbetts Wick Rd
Bldg 2
Girard, OH 44420
Phone (330) 919-9575

Organizations & group practices 1

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": "1758585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1952273591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "986 TIBBETTS WICK RD BLDG 2",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444201138",
            "telephone_number": "330-919-9575",
            "fax_number": "330-919-9576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5535 IRWIN SIMPSON RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450408107",
            "telephone_number": "330-919-9575",
            "fax_number": "330-919-9576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIDEL",
        "first_name": "ALLISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT006595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.