MR. SCOTT W KELLER (NPI# 1598929705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598929705 |
| Entity Type | Individual |
| Full Name | MR. SCOTT W KELLER |
| Credential | OTR/L |
| Practice Address |
12296b Ashley Dr Gulfport MS 39503-2759 |
| Practice Telephone | 2288326221 |
| Practice Fax Number | 2288324033 |
| Mailing Telephone | 2288326221 |
| Mailing Fax Number | 2288324033 |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2008-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT1921 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508174277 | Scott Sands Keller | Social Worker | 12814 Hampton Hill Dr, Riverview, FL 33578-7558 | 2010-09-15 |
| 1609861830 | Scott T Keller | Family Medicine | 4120 Five Forks Trickum Rd Sw, Suite 105, Lilburn, GA 30047-3130 | 2005-09-14 |
| 1639513716 | Scott B Keller | Radiology | 1 Brookdale Plaza, Obh Advanced Imaging, Brooklyn, NY 11212-3139 | 2013-04-19 |
| 1497085534 | Scott Cameron Keller | Chiropractor | 7121 Stephanie Ln, Suite 108, Lincoln, NE 68516-5359 | 2010-01-13 |
| 1003942145 | Scott Robert Keller | Pediatrics | 3 Park Pl, Swansea, IL 62226-2965 | 2007-02-25 |
| 1508893785 | Scott Keller | Chiropractor | 2805 Veterans Memorial Hwy, Suite #8, Ronkonkoma, NY 11779-7647 | 2006-06-26 |
| 1356312573 | Scott A Keller | Family Medicine | 7501 Riverside Pkwy, Tulsa, OK 74136 | 2006-01-27 |
| Street Address |
12296B ASHLEY DR |
| City | GULFPORT |
| State | MS |
| Zip Code | 39503-2759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811151319 | Christina Holifield Cuevas | Occupational Therapist | 12296b Ashley Dr, Gulfport, MS 39503-2759 | 2008-07-14 |
| 1750613394 | Tamela Ladner | Speech-Language Pathologist | 12296b Ashley Dr, Gulfport, MS 39503-2759 | 2010-02-08 |
| 1780849166 | Gina L Warr | Social Worker | 12296b Ashley Dr, Gulfport, MS 39503-2759 | 2008-07-24 |
| 1679737126 | Dominic Miceli | Physical Therapist | 12296b Ashley Dr, Gulfport, MS 39503-2759 | 2008-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515451 | Gulf Coast Neurospa, LLC | Psychiatry & Neurology | 8845 Lorraine Road, Gulfport, MS 39503 | 2020-10-16 |
| 1447865985 | Nicholas Wyrosdick | Physical Therapist | 12261 Us 49 #1, Gulfport, MS 39503 | 2020-09-11 |
| 1750935169 | Ladner Roy Drugs, LLC. | Pharmacy | 12261 Us 49 Suite 16, Gulfport, MS 39503 | 2019-07-25 |
| 1528559440 | Alexander Therapy Services, LLC | Clinic/Center | 15465 Oak Ln Ste 100c, Gulfport, MS 39503 | 2018-05-25 |
| 1750879003 | Heather Lynn Theisen | Nurse Practitioner | 15190 Community Rd Ste 330, Gulfport, MS 39503 | 2018-04-23 |
| 1083101216 | Gulf Coast Mental Health Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15094 County Barn Road, Gulfport, MS 39503 | 2018-04-13 |
| 1306343173 | Dr. Raymond Monsour Scurfield, LLC | Community/Behavioral Health | 15465 Oak Lane Ste 100-g, Gulfport, MS 39503 | 2018-04-09 |
| 1952817157 | Mary Beth Welch | Behavioral Analyst | 9230 Old Lorraine Rd, Gulfport, MS 39503 | 2017-12-26 |
| 1831603257 | Beach View Family Dental, Pllc | Dentist | 9072 Lorraine Road, Gulfport, MS 39503 | 2017-11-21 |
| 1437677721 | Mary Stephens Ruffin | Social Worker | 11262 Creek Dr, Gulfport, MS 39503 | 2017-09-07 |
| Find all providers in zip 39503 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669735379 | Heather Lauren Williams | Occupational Therapist | 15190 Community Rd Ste 120, Gulfport, MS 39503 | 2012-06-18 |
| 1811151319 | Christina Holifield Cuevas | Occupational Therapist | 12296b Ashley Dr, Gulfport, MS 39503-2759 | 2008-07-14 |
| 1144349135 | Cory Fury Brainard | Occupational Therapist | 15465 Oak Lane Suite 100 C, Gulfport, MS 39503-2663 | 2007-03-28 |
| 1225595234 | Allison Martinez | Occupational Therapist | 1530 Broad Ave, Gulfport, MS 39501-3601 | 2019-02-26 |
| 1154888592 | Summer Lyn Marcellus | Occupational Therapist | 12261 Highway 49 Ste 1, Gulfport, MS 39503-2976 | 2019-02-21 |
| 1386117216 | Amber Mathis Cooley | Occupational Therapist | 1530 Broad Ave, Gulfport, MS 39501-3601 | 2019-01-03 |
| 1194298190 | Anne Weaver Gomila | Occupational Therapist | 1530 Broad Ave, Gulfport, MS 39501-3601 | 2019-01-02 |
| 1114448594 | Caitlyn Burgess | Occupational Therapist | 12311 Ashley Dr Ste A, Gulfport, MS 39503-2950 | 2017-07-06 |
| 1093269748 | David Grizzard | Occupational Therapist | 1800 Beach Dr, Gulfport, MS 39507-1553 | 2016-08-11 |
| 1417340514 | Denese H Dapito | Occupational Therapist | 15476 Dedeaux Rd, Gulfport, MS 39503-2637 | 2015-03-12 |
| Find all providers in GULFPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.