Active NPI
Jason Kenny, OTR/L
- Occupational Therapist
- Laconia, NH
National Provider Identifier
1275724296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1447
- Practice address
- 175 Blueberry LN
Laconia, NH 03246-2918 - Phone
- (603) 528-7036
- NPI assigned
- Aug 6, 2007
- 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 Therapist | 225X00000X | 1447 | NH | Primary |
Addresses
Primary practice location
175 Blueberry LN
Laconia, NH 03246-2918
Mailing address
175 Blueberry LN
Laconia, NH 03246-2918
Phone (603) 528-7036
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250417000677 | NH | Practitioner - Occupational Therapist in Private Practice | 9638694151 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healthpro Heritage Rehab and Fitness LLC
Practice addresses (Care Compare)
24 Peabody PL
Franklin, NH 03235-1607
Phone (603) 698-0049
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | Current | Accepting new patients |
Locations
24 Peabody Pl
Franklin, NH 03235
Phone (603) 698-0049
495 Mammoth Rd
Manchester, NH 03104
Phone (603) 668-6011
Organizations & group practices 24
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186358400000",
"number": "1275724296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 BLUEBERRY LN",
"city": "LACONIA",
"state": "NH",
"postal_code": "032462918",
"telephone_number": "603-528-7036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 BLUEBERRY LN",
"city": "LACONIA",
"state": "NH",
"postal_code": "032462918",
"telephone_number": "603-528-7036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNY",
"first_name": "JASON",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-06",
"last_updated": "2007-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NH",
"license": "1447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laconia, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.