Active NPI
Brenda Kennell, OTR/L
- Occupational Therapist
- Charlotte, NC
National Provider Identifier
1003094285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1263
- Practice address
- 5100 Sharon Rd
Charlotte, NC 28210-4768 - Phone
- (704) 554-4818
- Fax
- (704) 551-0659
- NPI assigned
- Feb 10, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1263 | NC | Primary |
Addresses
Primary practice location
5100 Sharon Rd
Charlotte, NC 28210-4768
Mailing address
5100 Sharon Rd
Charlotte, NC 28210-4768
Phone (704) 554-4818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Bone & Joint PA | Past | Accepting new patients | |
| Carolina Bone & Joint PA | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rheumatology Physician
- Charlotte, NC
- NPI 1619030079
-
- Orthopaedic Surgery Physician
- Irmo, SC
- NPI 1699261917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202601600000",
"number": "1003094285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 SHARON RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282104768",
"telephone_number": "704-554-4818",
"fax_number": "704-551-0659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 SHARON RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282104768",
"telephone_number": "704-554-4818",
"fax_number": "704-551-0659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNELL",
"first_name": "BRENDA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-10",
"last_updated": "2008-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "1263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.