Individual provider Active NPI

Kennedy Farrell, OTD

  • Occupational Therapist
  • Hazlet, NJ
National Provider Identifier
1093624173
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR01306800 Issued in NJ
Practice address
82 Bethany Rd Ste 1
Hazlet, NJ 07730-1459
Phone
(732) 888-3912
NPI assigned
Sep 3, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR01306800 NJ Primary

Addresses

Primary practice location

82 Bethany Rd Ste 1
Hazlet, NJ 07730-1459

Mailing address

1 Bethany Rd
Hazlet, NJ 07730-1663
Phone (732) 888-3912

Other practice location 1

21 Cedar Ave Ste B1
Fair Haven, NJ 07704-3264
Phone (732) 888-3912

Other practice location 2

1033 US Highway 46 Ste 108
Clifton, NJ 07013-2448
Phone (973) 865-9321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1093624173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BETHANY RD",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301663",
            "telephone_number": "732-888-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 BETHANY RD STE 1",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301459",
            "telephone_number": "732-888-3912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Cedar Ave Ste B1",
            "address_purpose": "LOCATION",
            "city": "Fair Haven",
            "state": "NJ",
            "postal_code": "077043264",
            "country_code": "US",
            "telephone_number": "732-888-3912",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1033 US Highway 46 Ste 108",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070132448",
            "country_code": "US",
            "telephone_number": "973-865-9321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "KENNEDY",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01306800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlet, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.