Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. David Keller, COTA

Individual provider Occupational Therapy Assistant · NPI 1760021919

Mr. David Keller, COTA is an Occupational Therapy Assistant in Brookfield, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2020.

Licensed in
WI
In the registry since
2020
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

19525 W North Ave
Brookfield, WI 53045-4107
Phone: (262) 785-1114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 5324-27 (WI)

Record details

NPI number1760021919
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorNo
NPI enumeratedJanuary 4, 2020
Last updated in NPPESJanuary 4, 2020
Certification dateJanuary 4, 2020
Mailing address2345 S Howell Ave Apt 311, Milwaukee, WI 53207-1646

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