Amy Marie Kennedy, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201006476 Issued in MI

Practice address

15501 Metropolitan Pkwy
Clinton Township, MI 48036-1684

Phone

(586) 228-7000

NPI assigned

Oct 5, 2012

Sex

Female

Sole proprietor

No

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)

Enrolled

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 and National Provider Directory roles.

• Aquaticare Physical Therapy P.C

  • Physical Therapy Clinic/Center
  • Clinton Township, MI
  • NPI 1336318120
  NPD
• Empower Physical Therapy and Fitness

  • Physical Therapy Assistant
  • Clinton Township, MI
  • NPI 1083019277
  NPD (past)

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349395200000",
    "number": "1467704072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15501 METROPOLITAN PKWY",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361684",
            "telephone_number": "586-228-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15501 METROPOLITAN PKWY",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361684",
            "telephone_number": "586-228-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-05",
        "last_updated": "2012-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201006476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick James Kelly Sr., D.D.S.
• Alexandria Marie Kempf
• Shelby Kenaan
• Robert Douglas Kenewell, D.O.
• Ashle Renee Kenley
• Robert William Kennedy, MSW
• Thaise Kennedy
• Madison Maxine Kenrick, DO
• Nadia Fatima Kent, NP
• Amy Louise Kenzie, LBSW

• Occupational Therapist in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Occupational Therapist in Michigan

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