Active NPI
Jean Marie Kenny, O.T.R.
- Occupational Therapist
- Pompano Beach, FL
National Provider Identifier
1265581946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 560
- Practice address
- 2755 SE 5TH CT
Pompano Beach, FL 33062-6111 - Phone
- (954) 942-7110
- NPI assigned
- Jan 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT 560 | FL | Primary |
| Developmental Therapist | 222Q00000X | OT560 | FL |
Addresses
Primary practice location
2755 SE 5TH CT
Pompano Beach, FL 33062-6111
Mailing address
2755 SE 5TH CT
Pompano Beach, FL 33062-6111
Phone (954) 942-7110
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 |
|---|---|---|---|
| OT560 | FL | MD | Developmental Therapist |
| OT 560 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339113600000",
"number": "1265581946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2755 SE 5TH CT",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330626111",
"telephone_number": "954-942-7110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2755 SE 5TH CT",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330626111",
"telephone_number": "954-942-7110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNY",
"first_name": "JEAN",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "O.T.R.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2012-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT 560",
"primary": true
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "FL",
"license": "OT560",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.