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
- Last updated
- May 21, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 292 | OK | Primary |
| Occupational Therapist | 225X00000X | 10681 | MT |
Addresses
Primary 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
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 |
|---|---|---|---|
| 292 | OK | MD | Professional Counselor |
| 10681 | MT | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kendra Pennington, Otr/L | Pediatrics | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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.