KEISHA FORMANEK COTA/L
NPI 1073322103
Occupational Therapy Assistant in West Union, IA

Active since January 03, 2025
112 JEFFERSON ST, WEST UNION, IA 52175(563) 422-3811 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keisha Formanek Cota/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEISHA FORMANEK COTA/L (NPI 1073322103) is an individual occupational therapy assistant in West Union, Iowa, licensed in Iowa (080424) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1073322103
Entity TypeIndividualFemale
Primary Taxonomy224Z00000X
Provider Legal NameKEISHA FORMANEKCredential: COTA/L
Location Address112 JEFFERSON STWest Union, IA 52175-1022
Mailing Address112 Jefferson StWest Union, IA 52175-1022
Sole ProprietorNo
Enumeration DateJanuary 3, 2025
NPPES CertifiedJanuary 3, 2025
NPI 1073322103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224Z00000X
License Licensed in IA · 080424
Definition
An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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.
112 JEFFERSON ST, West Union, IA 52175

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
112 JEFFERSON ST
WEST UNION, IA 52175
Dietitian, Registered
112 JEFFERSON ST
WEST UNION, IA 52175
Nurse Anesthetist, Certified Registered
112 JEFFERSON ST
WEST UNION, IA 52175
Nurse Practitioner (Psychiatric/Mental Health)
112 JEFFERSON ST
WEST UNION, IA 52175
Physical Therapy Assistant
112 JEFFERSON ST
WEST UNION, IA 52175
Occupational Therapy Assistant
112 JEFFERSON ST
WEST UNION, IA 52175
Nurse Practitioner (Psychiatric/Mental Health)
112 JEFFERSON ST
WEST UNION, IA 52175
Physical Therapist
112 JEFFERSON ST
WEST UNION, IA 52175

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keisha Formanek's NPI number?

The NPI number for Keisha Formanek is 1073322103. It was assigned to this individual provider in the NPPES registry on January 3, 2025.

Where is Keisha Formanek located?

Keisha Formanek practices at 112 Jefferson St, West Union, IA 52175. The listed phone number is (563) 422-3811.

What is Keisha Formanek's specialty?

The primary specialty registered for this NPI is Occupational Therapy Assistant with taxonomy code 224Z00000X.

When was this NPI record last updated?

The NPPES record for Keisha Formanek was last updated on January 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.