Provider Demographics
NPI:1134176282
Name:KEIM, CHERI M (OTR/L)
Entity type:Individual
Prefix:
First Name:CHERI
Middle Name:M
Last Name:KEIM
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:CHERI
Other - Middle Name:M
Other - Last Name:WEINSTEIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR/L
Mailing Address - Street 1:900 ROUTE 9 N STE 410
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07095-1003
Mailing Address - Country:US
Mailing Address - Phone:201-801-7141
Mailing Address - Fax:
Practice Address - Street 1:900 ROUTE 9 N STE 410
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07095-1003
Practice Address - Country:US
Practice Address - Phone:201-801-7141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00186300225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP00413502Medicare PIN
NJ102017PCVMedicare PIN