Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Keelin Jane Nickerson, OTR/L

Individual provider Occupational Therapist · NPI 1538883590

Keelin Jane Nickerson, OTR/L is an Occupational Therapist in Private Practice in Durango, Colorado. Qualified in 2022, 4 years ago. Practices with San Juan Hand Therapy Inc, a 3-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
4
Licensed in
CO
In the registry since
2022
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

575 Rivergate Ln Unit 108
Durango, CO 81301-7490
Phone: (970) 247-7711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT.0007626 (CO)

Record details

NPI number1538883590
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedOctober 3, 2022
Last updated in NPPESOctober 3, 2022
Certification dateSeptember 29, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice San Juan Hand Therapy Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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