Kennisha Anderson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

14903 Issued in CA

Practice address

24015 Copperhill Dr Apt 9301
Valencia, CA 91354-5030

Phone

(818) 723-8963

NPI assigned

Dec 9, 2014

Last updated

Jul 9, 2024By 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)

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.

• Interface Rehab, Inc.

  • Assisted Living Facility
  • Healdsburg, CA
  • NPI 1053178244
  NPD

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1548668494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24015 COPPERHILL DR APT 9301",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913545030",
            "telephone_number": "818-723-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24015 COPPERHILL DR APT 9301",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913545030",
            "telephone_number": "818-723-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KENNISHA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "14903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amin Javid DDS Inc
• Amir Alexander Rouhani, MD, Professional Corporation
• Clifford Philip Amoils, MD
• Marlen Anadolian
• Stephanie Anaya, CADC-II
• Noah J Anderson
• Stephanie Anderson
• Teder Anderson
• Ambreen Andrabi, DDS
• Stephanie Ivette Andrade

• Occupational Therapist in Valencia, CA
• Providers in Valencia, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.