Active NPI
Carolyn Diekman Keever, OCCUPATIONAL THERAPI
- Occupational Therapist
- Albany, NY
National Provider Identifier
1972332401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1327756
- Practice address
- 75 New Scotland Ave
Albany, NY 12208-3409 - Phone
- (518) 549-6000
- NPI assigned
- Aug 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1327756 | NY | Primary |
| Environmental Modification Occupational Therapist | 225XE0001X | 1327756 | NY | |
| Gerontology Occupational Therapist | 225XG0600X | |||
| Mental Health Occupational Therapist | 225XM0800X | |||
| Physical Rehabilitation Occupational Therapist | 225XP0019X |
Addresses
Primary practice location
75 New Scotland Ave
Albany, NY 12208-3409
Mailing address
20 Venezio Ave
Albany, NY 12203-4818
Phone (518) 461-6190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1327756 | NY | MD | Environmental Modification Occupational Therapist |
| 008173 | NY | MD | General Care Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722470400000",
"number": "1972332401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 VENEZIO AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "122034818",
"telephone_number": "518-461-6190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 NEW SCOTLAND AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "122083409",
"telephone_number": "518-549-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEEVER",
"first_name": "CAROLYN",
"middle_name": "DIEKMAN",
"credential": "OCCUPATIONAL THERAPI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-01",
"last_updated": "2024-08-01",
"certification_date": "2024-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "1327756",
"primary": true
},
{
"code": "225XE0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Environmental Modification",
"state": "NY",
"license": "1327756",
"primary": false
},
{
"code": "225XG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Gerontology",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.