Kendra Deark, MOTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31005860A Issued in IN

Practice address

1 Silvercrest Dr
New Albany, IN 47150-7800

Phone

(812) 542-6720

NPI assigned

Jun 1, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433116800000",
    "number": "1225418619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 PALMETTO CT",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410429047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SILVERCREST DR",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471507800",
            "telephone_number": "812-542-6720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEARK",
        "first_name": "KENDRA",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31005860A",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "BOTOCT00195836",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Elnora Davis, PHARM D
• Alicia Kristen-Marie Dawson, MSSW
• Mark Nacianceno De Fiesta
• Kelvin Antonio De la Cruz Chaljub, CSFA
• Thomela Dean, RBT
• Sherry Dehn-Smith, LCSW
• Lindsey Delancey, OTR/L
• Kristy Marie Delaney, MSW
• Tabitha Deleon
• Jacob Denham, PTA

• Occupational Therapist in New Albany, IN
• Providers in New Albany, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; 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.