Michaelene Sage Kearney, OTR/L.

Primary specialty

SpecialistTaxonomy code 174400000X

License

OT000954 Issued in GA

Practice address

5635 Peachtree Pkwy
Suite 170
Norcross, GA 30092-2879

Phone

(770) 798-9844

Fax

(770) 798-9832

NPI assigned

Jan 11, 2012

Last updated

Aug 27, 2012By 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

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.

• Children in Motion Therapy Services LLC

  • Occupational Therapist
  • Norcross, GA
  • NPI 1952810566
  NPD (past) Authorized official

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1437429156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5655 PEACHTREE PKWY",
            "address_2": "SUITE 117",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300922812",
            "telephone_number": "770-798-9844",
            "fax_number": "770-798-9832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5635 PEACHTREE PKWY",
            "address_2": "SUITE 170",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300922879",
            "telephone_number": "770-798-9844",
            "fax_number": "770-798-9832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARNEY",
        "first_name": "MICHAELENE",
        "middle_name": "SAGE",
        "credential": "OTR/L.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "OT000954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarvpreet Kaur, MD
• Mary Kavishe, MS
• Kci USA, Inc. (Solventum Advanced Wound Care)
• KDS Blueprint Professional Care LLC
• Jonathan Dale Ke, PT, DPT
• Sosena Kebede, MD
• Keen Behavioral Solutions LLC
• Isabelle Kelly
• Donald Craig Kerley, PSY.D.
• Wardah Khalid, PA-C

• Specialist in Norcross, GA
• Providers in Norcross, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.

Verify at the official NPI Registry.