Active NPI
Kendra Sue Pennington, OTR/L
- Pediatric Occupational Therapist
- Tulsa, OK
National Provider Identifier
1649702002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 292
- Practice address
- 7915 S 77TH East Ave
Tulsa, OK 74133-3527 - Phone
- (918) 409-2334
- NPI assigned
- Apr 3, 2017
- Sex
- Female
- Sole proprietor
- Yes
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.
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10681 | MT | MD | Occupational Therapist |
| 292 | OK | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kendra Pennington, Otr/L | Pediatrics | Current | Accepting new patients |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 292 | OK | Primary |
| Occupational Therapist | 225X00000X | 10681 | MT |
Addresses
NPPES NPI RegistryPrimary practice location
7915 S 77TH East Ave
Tulsa, OK 74133-3527
Mailing address
7915 S 77TH East Ave
Tulsa, OK 74133-3527
Phone (918) 409-2334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 21, 2024.
{
"created_epoch": "1491177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716249600000",
"number": "1649702002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7915 S 77TH EAST AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741333527",
"telephone_number": "918-409-2334",
"fax_number": "918-836-4505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7915 S 77TH EAST AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741333527",
"telephone_number": "918-409-2334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENNINGTON",
"first_name": "KENDRA",
"middle_name": "SUE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-03",
"last_updated": "2024-05-21",
"certification_date": "2024-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "OK",
"license": "292",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MT",
"license": "10681",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.