Maggie Danielle Kennedy, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA01193 Issued in RI

Practice address

1675 Flat River Rd
Coventry, RI 02816-8910

Phone

(401) 822-9400

NPI assigned

Sep 5, 2023

Last updated

Sep 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Coventry Public Schools

  • Local Education Agency (LEA)
  • Coventry, RI
  • NPI 1619016599
  NPD

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1407632664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 WILLIAMSBURG CIR",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 FLAT RIVER RD",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028168910",
            "telephone_number": "401-822-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "MAGGIE",
        "middle_name": "DANIELLE",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "RI",
            "license": "OTA01193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Kanaczet, MS
• Kristen Elizabeth Kane, PA
• Michelle Elizabeth Kane, OTR/L
• Julie Keenan
• Jennifer Emily Kelley, MSOTRL
• Sara Rose Kent, PHARMD
• Carrilynn Kissinger
• Juliana Kohler, PHARMD
• Marina Korennaya, PHARMD
• Keryn Elizabeth Kwan-Dickinson, LMT

• Occupational Therapy Assistant in Coventry, RI
• Providers in Coventry, RI by specialty
• Occupational Therapy Assistant in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.