Active NPI
Kenneth Lloyd Barnes, COTA
- Occupational Therapy Assistant
- Carmichael, CA
National Provider Identifier
1194061051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 385
- Practice address
- 3900 Garfield Ave
Carmichael, CA 95608-6647 - Phone
- (916) 481-6455
- Fax
- (916) 481-6489
- NPI assigned
- Dec 21, 2012
- Last updated
- Dec 21, 2012
- Sex
- Male
- 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 Therapy Assistant | 224Z00000X | 385 | CA | Primary |
Addresses
Primary practice location
3900 Garfield Ave
Carmichael, CA 95608-6647
Mailing address
3900 Garfield Ave
Carmichael, CA 95608-6647
Phone (916) 481-6455
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 385 | CA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356048000000",
"number": "1194061051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 GARFIELD AVE",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956086647",
"telephone_number": "916-481-6455",
"fax_number": "916-481-6489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 GARFIELD AVE",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956086647",
"telephone_number": "916-481-6455",
"fax_number": "916-481-6489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNES",
"first_name": "KENNETH",
"middle_name": "LLOYD",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-21",
"last_updated": "2012-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CA",
"license": "385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmichael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.