Individual provider Active NPI

Patricia Kenning, OTR/L

  • Occupational Therapist
  • Cheshire, CT
National Provider Identifier
1528385192
Registry record updated Apr 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
41 Issued in CT
Practice address
335 Highland Ave
Suite 201
Cheshire, CT 06410-2549
Phone
(203) 699-9264
Fax
(203) 271-1241
NPI assigned
Apr 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 41 CT Primary
Neurorehabilitation Occupational Therapist 225XN1300X 41 CT
Pediatric Occupational Therapist 225XP0200X 41 CT

Addresses

Primary practice location

335 Highland Ave
Suite 201
Cheshire, CT 06410-2549

Mailing address

335 Highland Ave
Suite 201
Cheshire, CT 06410-2549
Phone (203) 699-9264

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
41CTMDGenetic Counselor (M.S.)

NPI Registry JSON

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

{
    "created_epoch": "1271894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271894400000",
    "number": "1528385192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 HIGHLAND AVE",
            "address_2": "SUITE 201",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102549",
            "telephone_number": "203-699-9264",
            "fax_number": "203-271-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 HIGHLAND AVE",
            "address_2": "SUITE 201",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102549",
            "telephone_number": "203-699-9264",
            "fax_number": "203-271-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNING",
        "first_name": "PATRICIA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-22",
        "last_updated": "2010-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "41",
            "primary": true
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "CT",
            "license": "41",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CT",
            "license": "41",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; 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.