Kelly M Hennessy, OTR/L

Primary specialty

SpecialistTaxonomy code 174400000X

License

OT11129 Issued in FL

Practice address

16606 Saddle Club Rd
Weston, FL 33326-1808

Phone

(954) 660-0551

Fax

(954) 660-0527

NPI assigned

Oct 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Lifespan Therapy Inc

  • Occupational Therapist
  • Weston, FL
  • NPI 1942281803
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1124116520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 S UNIVERSITY DR",
            "address_2": "308",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333281469",
            "telephone_number": "954-648-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16606 SADDLE CLUB RD",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333261808",
            "telephone_number": "954-660-0551",
            "fax_number": "954-660-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNESSY",
        "first_name": "KELLY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "OT11129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Z065P",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helpful Home Service Inc.
• Helpful Home Services Inc.
• Helping Epic Angels Inc
• Courtney Hendrickson
• Brittany Hendrix
• Mikayla Henry
• Sarah Rebecca Henry, M.S. CCC-SLP
• Cristina Hernandez Machado
• Alexey Hernandez Perez, MD
• Amanda Hernandez

• Specialist in Weston, FL
• Providers in Weston, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.