Active NPIIndividual provider

Keyana Proctor

Occupational Therapist, Pediatrics in Maplewood, New Jersey

NPI Number1346616448
Practice location
92 Burnett Ave Apt 216, Maplewood, NJ 07040-2983
Fax
—
Last updated
January 17, 2024

Keyana Proctor is an Occupational Therapist, Pediatrics based in Maplewood, NJ. Keyana Proctor practices in Maplewood, NJ. The NPI Number for Keyana Proctor is 1346616448 and holds a License No. 008730 (NY). The current practice location address for Keyana Proctor is 92 Burnett Ave Apt 216, Maplewood, NJ 07040-2983 and can be reached out via phone at 908-414-8473.

Provider Profile Details

NPI Number
1346616448
Provider Name
Keyana Proctor
Provider Entity Type
Individual
Gender
Female
Address
92 Burnett Ave Apt 216, Maplewood, NJ 07040-2983
Phone Number
908-414-8473
Primary Taxonomy
Occupational Therapist, Pediatrics · 225XP0200X
Sole Proprietor
No
Provider Enumeration Date
August 12, 2015
Last Update Date
January 17, 2024
Certification Date
January 17, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
92 Burnett Ave Apt 216
Maplewood, NJ 07040-2983
Zip
07040-2983
Phone Number
908-414-8473
Maplewood, NJ 07040Get directions →

Provider Business Mailing Address Details

Address
92 Burnett Ave Apt 216
Maplewood, NJ 07040-2983
City
Maplewood
State
NJ
Zip
07040-2983
Phone Number
908-414-8473

License Information

License Number (1)
008730
License State (1)
NY
Taxonomy (1)
Occupational Therapy Assistant · 224Z00000X
License Number (2)
028554
License State (2)
NY
Taxonomy (2)
Occupational Therapist, Pediatrics · 225XP0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Keyana Proctor?

The NPI number of Keyana Proctor is 1346616448. It was assigned on August 12, 2015 and is currently active in the NPPES registry.

What is the specialty of Keyana Proctor?

Keyana Proctor is registered under the primary taxonomy Occupational Therapist, Pediatrics (code 225XP0200X), licensed in NY under license number 008730.

Where does Keyana Proctor practice?

The practice location is 92 Burnett Ave Apt 216, Maplewood, NJ 07040-2983. The office can be reached at 908-414-8473 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1346616448 directly on the NPPES registry website.

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