- Practice location
- 3903 Northdale Blvd Ste 111W, Tampa, FL 33624-1853
- Phone
- 813-418-7350
- Fax
- —
- Last updated
- April 9, 2019
Keisha N. Forde is an Occupational Therapist based in Tampa, FL. Keisha N. Forde practices in Tampa, FL. The NPI Number for Keisha N. Forde is 1548511843 and holds a License No. 10666 (MA). The current practice location address for Keisha N. Forde is 3903 Northdale Blvd Ste 111W, Tampa, FL 33624-1853 and can be reached out via phone at 813-418-7350.
Provider Profile Details
- NPI Number
- 1548511843
- Provider Name
- Keisha N. Forde
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 3903 Northdale Blvd Ste 111W, Tampa, FL 33624-1853
- Phone Number
- 813-418-7350
- Primary Taxonomy
- Occupational Therapist · 225X00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 26, 2012
- Last Update Date
- April 9, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3903 Northdale Blvd Ste 111W
Tampa, FL 33624-1853 - City
- Tampa
- State
- Florida
- Zip
- 33624-1853
- Phone Number
- 813-418-7350
Provider Business Mailing Address Details
- Address
- 555 Amory St
Jamaica Plain, MA 02130-2652 - City
- Jamaica Plain
- State
- MA
- Zip
- 02130-2652
- Phone Number
- 617-383-6522
License Information
- License Number (1)
- 10666
- License State (1)
- MA
- Taxonomy (1)
- Occupational Therapist, Pediatrics · 225XP0200X
- License Number (2)
- OT16802
- License State (2)
- FL
- Taxonomy (2)
- Occupational Therapist · 225X00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Miss Keisha N Forde?
The NPI number of Miss Keisha N Forde is 1548511843. It was assigned on September 26, 2012 and is currently active in the NPPES registry.
What is the specialty of Miss Keisha N Forde?
Miss Keisha N Forde is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in MA under license number 10666.
Where does Miss Keisha N Forde practice?
The practice location is 3903 Northdale Blvd Ste 111W, Tampa, FL 33624-1853. The office can be reached at 813-418-7350 (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 1548511843 directly on the NPPES registry website.