Individual provider Active NPI

Kendra Sue Pennington, OTR/L

  • Pediatric Occupational Therapist
  • Tulsa, OK
National Provider Identifier
1649702002
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
292 Issued in OK
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

LicenseStateTypeSpecialty
10681MTMDOccupational Therapist
292OKMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kendra Pennington, Otr/L Pediatrics CurrentSince Jun 23, 2024 Accepting new patients

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 292 OK Primary
Occupational Therapist 225X00000X 10681 MT

Addresses

NPPES NPI Registry

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

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.

Verify at the official NPI Registry.