MS. KIMBERLY A. KELLER OT
NPI 1720279409
Occupational Therapist in Bloomington, IL

Active since August 07, 2007
1111 TRINITY LN, SUITE 111, BLOOMINGTON, IL 61704(309) 663-6461(309) 661-4666 Get Directions Write a Review

NPPES record last updated: March 1, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 1, 2019, Jan 14, 2017 (2 updates tracked since 2017).

About Ms. Kimberly A. Keller Ot NPPES

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

MS. KIMBERLY A. KELLER OT (NPI 1720279409) is an individual occupational therapist in Bloomington, Illinois, licensed in Illinois (056004609) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1720279409
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMS. KIMBERLY A. KELLERCredential: OT
Location Address1111 TRINITY LN, SUITE 111Bloomington, IL 61704-8111
Mailing Address1111 Trinity Ln, Suite 111Bloomington, IL 61704-8111 · (309) 663-6461 · Fax (309) 661-4666
Fax(309) 661-4666
Sole ProprietorNo
Enumeration DateAugust 7, 2007
Last NPPES UpdateMarch 1, 20192 updates tracked since enumeration
NPI 1720279409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in IL · 056004609
Definition
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.
1111 TRINITY LN, Bloomington, IL 61704

Other Identifiers 1

OtherSTATE LICENSEIL · 056004609

Other Providers at the Same Location NPPES 19

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

Physical Therapist
1111 TRINITY LN, SUITE 111
BLOOMINGTON, IL 61704
Physical Therapist
1111 TRINITY LN, SUITE 111
BLOOMINGTON, IL 61704
Occupational Therapist (Hand)
1111 TRINITY LN, SUITE 111
BLOOMINGTON, IL 61704
Specialist/Technologist, Other (Surgical Assistant)
1111 TRINITY LN, SUITE 111
BLOOMINGTON, IL 61704
Family Medicine (Sports Medicine)
1111 TRINITY LN
BLOOMINGTON, IL 61704
Orthopaedic Surgery
1111 TRINITY LN
BLOOMINGTON, IL 61704
Physical Therapist
1111 TRINITY LN, SUITE 111
BLOOMINGTON, IL 61704
Physical Therapist
1111 TRINITY LN
BLOOMINGTON, IL 61704

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 Kimberly Keller's NPI number?

The NPI number for Kimberly Keller is 1720279409. It was assigned to this individual provider in the NPPES registry on August 7, 2007.

Where is Kimberly Keller located?

Kimberly Keller practices at 1111 Trinity Ln Suite 111, Bloomington, IL 61704. The listed phone number is (309) 663-6461.

What is Kimberly Keller's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Keller was last updated on March 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.