MARY C KEITH (OTR) – Occupational Therapist, NPI 1790728343

MARY C KEITH (OTR) is a healthcare provider. based in Gainesville, Florida. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR. They hold a License No. 99496 (FL). The NPI Number for MARY C KEITH (OTR) is 1790728343

Main info

Female
Sole Proprietor
52 Years Of Experience
Accepts Medicare Assignment
Name
MARY C KEITH (OTR)
NPI
1790728343
Phone
(850) 319-6043
Address
5333 SW 75TH ST APT D32
Enumeration Date
13 June 2006
Last Update Date
15 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3523663702
Graduation Year
1974 (52 years ago)
PAC ID
8527597459
Group Practice PAC ID
6507832573
Professional Enrollment ID
I20250122002661
Address ID
FL326067468GA2431XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,139 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for MARY C KEITH (OTR)

  • 5333 SW 75TH ST APT D32

    GAINESVILLE, FL 326087449

    Phone: (850) 319-6043

    Type: Location

  • 2119, Westover Circle, Panama City, Bay County, Florida, 32405, United States

    PANAMA CITY, FL 324052332

    Phone: (850) 784-2022

    Fax: (850) 522-1071

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-01-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250122002661IOccupational Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32608)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507832573View full group profile
NameSpecialtyState
-IN
Occupational Therapist In Private PracticeTN
Physical Therapist In Private PracticeNH
-AR
-IL
-TX
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeIN
Occupational Therapist In Private PracticeIN
-OK

Reviews

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Frequently asked questions

Can I cross-check MARY C KEITH (OTR) using NPI 1790728343?
NPI 1790728343 belongs to MARY C KEITH (OTR); compare other details if you need extra assurance.
Is MARY C KEITH (OTR) shown as active in public data?
Registry records indicate MARY C KEITH (OTR) maintains an active NPI.
How would a patient describe MARY C KEITH (OTR)'s focus?
For MARY C KEITH (OTR), the primary taxonomy reads as Occupational Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MARY C KEITH (OTR)?
Travel planning: use Gainesville, Florida as the reference point for MARY C KEITH (OTR), then confirm.
Does MARY C KEITH (OTR) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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