Individual provider Active NPI

Savannah Catherine Kenendy, COTA

  • Occupational Therapy Assistant
  • Temple, TX
National Provider Identifier
1285283341
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
215734 Issued in TX
Practice address
763 Marlandwood Rd
Temple, TX 76502-3573
Phone
(254) 771-5950
NPI assigned
Sep 10, 2019
Last updated
Sep 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 215734 TX Primary

Addresses

Primary practice location

763 Marlandwood Rd
Temple, TX 76502-3573

Mailing address

2405 S 13TH St Apt 407
Temple, TX 76504-7805
Phone (318) 368-5430

Other practice location 1

3809 S General Bruce Dr Ste 105B
Temple, TX 76502-1038
Phone (254) 218-7070

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

LicenseStateTypeSpecialty
215734TXMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Home Health Group of Temple, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1285283341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 S 13TH ST APT 407",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765047805",
            "telephone_number": "318-368-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 MARLANDWOOD RD",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765023573",
            "telephone_number": "254-771-5950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3809 S General Bruce Dr Ste 105B",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765021038",
            "country_code": "US",
            "telephone_number": "254-218-7070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENENDY",
        "first_name": "SAVANNAH",
        "middle_name": "CATHERINE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "215734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.