Active NPI
Timothy Martin Kennedy, MS, OTR/L
- Occupational Therapist
- Amherst, NY
National Provider Identifier
1346406238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 63010333
- Practice address
- 25 Chateau Ter
Amherst, NY 14226-3927 - Phone
- (716) 839-1655
- Fax
- (716) 839-1656
- NPI assigned
- Jul 31, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 63010333 | NY | Primary |
Addresses
Primary practice location
25 Chateau Ter
Amherst, NY 14226-3927
Mailing address
36 Britt Avenue
Buffalo, NY 14220
Phone (716) 826-2660
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63010333 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217462400000",
"number": "1346406238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 BRITT AVENUE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14220",
"telephone_number": "716-826-2660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 CHATEAU TER",
"city": "AMHERST",
"state": "NY",
"postal_code": "142263927",
"telephone_number": "716-839-1655",
"fax_number": "716-839-1656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "TIMOTHY",
"middle_name": "MARTIN",
"name_prefix": "Mr.",
"credential": "MS, OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-31",
"last_updated": "2008-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "63010333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.