Individual provider Active NPI

Kendall Elizabeth Gremaux, OTR/L

  • Occupational Therapist
  • Wetumpka, AL
National Provider Identifier
1669165403
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6025 Issued in AL
Practice address
74186 Tallassee Hwy Ste B
Wetumpka, AL 36092-5644
Phone
(334) 478-3570
NPI assigned
May 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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 6025 AL Primary

Addresses

Primary practice location

74186 Tallassee Hwy Ste B
Wetumpka, AL 36092-5644

Mailing address

74186 Tallassee Hwy Ste B
Wetumpka, AL 36092-5644
Phone (334) 478-3570

Other practice location 1

564 N Memorial Dr
Prattville, AL 36067-2132
Phone (334) 491-0066

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
6025ALMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
The Bailey Center, LLC Occupational Therapist CurrentSince Feb 23, 2025 Accepting new patients

Locations

564 N Memorial Dr
Prattville, AL 36067
Phone (334) 358-2010

74186 Tallassee Hwy
Ste B
Wetumpka, AL 36092
Phone (334) 478-3570

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": "1685318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1669165403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74186 TALLASSEE HWY STE B",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360925644",
            "telephone_number": "334-478-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74186 TALLASSEE HWY STE B",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360925644",
            "telephone_number": "334-478-3570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "564 N Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Prattville",
            "state": "AL",
            "postal_code": "360672132",
            "country_code": "US",
            "telephone_number": "334-491-0066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREMAUX",
        "first_name": "KENDALL",
        "middle_name": "ELIZABETH",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "6025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wetumpka, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.