Individual provider Active NPI

Jenny Kell, OTR

  • Occupational Therapist
  • Dallas, TX
National Provider Identifier
1023395399
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
108852 Issued in TX
Practice address
16250 Knoll Trail Dr Ste 101
Dallas, TX 75248-2868
Phone
(214) 679-3891
Fax
(469) 405-2994
NPI assigned
Nov 14, 2011
Last updated
Mar 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 108852 TX Primary
Physical Rehabilitation Occupational Therapist 225XP0019X 108852 TX

Addresses

Primary practice location

16250 Knoll Trail Dr Ste 101
Dallas, TX 75248-2868

Mailing address

PO Box 835613
Richardson, TX 75083-5613
Phone (214) 679-3891

Other names 1

  • Jenny Kell Former name

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

State licenses

LicenseStateTypeSpecialty
108852TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Physical Therapy PC PastSince Nov 8, 2004 Accepting new patients
Energy Rehab Services 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1023395399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 835613",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750835613",
            "telephone_number": "214-679-3891",
            "fax_number": "469-405-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16250 KNOLL TRAIL DR STE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752482868",
            "telephone_number": "214-679-3891",
            "fax_number": "469-405-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELL",
        "first_name": "JENNY",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-14",
        "last_updated": "2024-03-07",
        "certification_date": "2023-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "108852",
            "primary": true
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "TX",
            "license": "108852",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNY",
            "last_name": "KELL",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.