Evan Kennerly

Primary specialty

DriverTaxonomy code 172A00000X

Practice address

140 Sand Run Rd
Akron, OH 44313-6000

Phone

(330) 812-0161

NPI assigned

Jul 21, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Barrie G. Galvin, Otr L & Associates, LTD

  • Pediatric Occupational Therapist
  • Cleveland, OH
  • NPI 1669504080
  NPD (past)

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1679146278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 SAND RUN RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443136000",
            "telephone_number": "330-812-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 SAND RUN RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443136000",
            "telephone_number": "330-812-0161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25221 Miles Rd Unit F",
            "address_purpose": "LOCATION",
            "city": "Warrensville Heights",
            "state": "OH",
            "postal_code": "441285494",
            "country_code": "US",
            "telephone_number": "216-514-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNERLY",
        "first_name": "EVAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-21",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Kennedy
• Gretchen Kennedy, P.T.
• Kathleen Joyce Kennedy, RPH
• O'Liva Kennedy, B.A., QMHS
• Tara Lynn Kennedy
• Kelle M Kennerly
• Kenneth Kennerly
• Makayla Kennerly
• Beth Ann Kenney-Murphy, APRN.CNS
• Catherine Kenngott

• Driver in Akron, OH
• Providers in Akron, OH by specialty
• Driver in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.