Individual provider Active NPI

Dee' Tabor Kennedy, OT

  • Occupational Therapist
  • Morristown, TN
National Provider Identifier
1619440484
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT000004890 Issued in TN
Practice address
2259 Sandstone Dr
Morristown, TN 37814-2593
Phone
(423) 317-9699
Fax
(423) 317-9225
NPI assigned
Jan 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT000004890 TN Primary

Addresses

Primary practice location

2259 Sandstone Dr
Morristown, TN 37814-2593

Mailing address

2259 Sandstone Dr
Morristown, TN 37814-2593
Phone (423) 317-9699

Other practice location 1

1047 Highway 92 S
Dandridge, TN 37725-4740
Phone (865) 397-5073

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
OT000004890TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Group of Morristown, Inc. CurrentSince Nov 21, 2021 Accepting new patients

Locations

1047 Highway 92 S
Dandridge, TN 37725
Phone (865) 397-5073

2259 Sandstone Dr
Morristown, TN 37814
Phone (423) 317-9699

2412 W Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 317-9699

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1619440484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2259 SANDSTONE DR",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378142593",
            "telephone_number": "423-317-9699",
            "fax_number": "423-317-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2259 SANDSTONE DR",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378142593",
            "telephone_number": "423-317-9699",
            "fax_number": "423-317-9225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1047 Highway 92 S",
            "address_purpose": "LOCATION",
            "city": "Dandridge",
            "state": "TN",
            "postal_code": "377254740",
            "country_code": "US",
            "telephone_number": "865-397-5073",
            "fax_number": "865-397-5271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "DEE'",
        "middle_name": "TABOR",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "OT000004890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.