James Wayne Kendzierski, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA01557 Issued in OH

Practice address

620 Water St
Chardon, OH 44024-1149

Phone

(440) 285-9400

NPI assigned

Sep 17, 2010

Last updated

Sep 17, 2010By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284681600000",
    "number": "1548578099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 WATER ST",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241149",
            "telephone_number": "440-285-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 WATER ST",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241149",
            "telephone_number": "440-285-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDZIERSKI",
        "first_name": "JAMES",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-17",
        "last_updated": "2010-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "OTA01557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Keeley, PTA
• Jamie Keller
• Augustine J. Kellis, M.D.
• George J Kellis, M.D.
• Michael J Kellis, D.O.
• Trocon Keneah
• Winifred Keneah
• Rachel Kenenske
• Lisa Marie Kennedy, COTA/L
• Kary Jay Kepes

• Occupational Therapy Assistant in Chardon, OH
• Providers in Chardon, OH by specialty
• Occupational Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.