Misty Milam Kennedy, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR1443 Issued in AR

Practice address

133 Military Rd
Marion, AR 72364-1755

Phone

(870) 739-5111

NPI assigned

Feb 19, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kennedy Therapy Services

  • Occupational Therapist
  • Cherry Valley, AR
  • NPI 1760749766
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003950304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 EVELYN RD",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723643046",
            "telephone_number": "870-739-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 MILITARY RD",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723641755",
            "telephone_number": "870-739-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "MISTY",
        "middle_name": "MILAM",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR1443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darnell Jones, FNP-BC
• Lakeisha Jones, CASE MANAGER
• Allison Jordan
• Asif Saeed Kazmi, M.D.
• Kejo Medical PLLC
• Lasonya Key
• Kids for the Future of Marion
• Kidspot Marion, Inc.
• Kidspot Marion, Inc.
• Paul Kilvington, P.T.

• Occupational Therapist in Marion, AR
• Providers in Marion, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.