Kendra Lynne Ward, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

1008792 Issued in OR

Practice address

2120 Exchange St
Suite 104
Astoria, OR 97103-3365

Phone

(503) 325-7711

NPI assigned

Mar 21, 2011

Last updated

Mar 21, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Astoria Physical Therapy and Sports Rehabilitation Center, PC

  • Physical Therapy Clinic/Center
  • Astoria, OR
  • NPI 1912028671
  NPD (past)

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300665600000",
    "number": "1689973364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1456 FRANKLIN AVE",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033821",
            "telephone_number": "757-232-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 EXCHANGE ST",
            "address_2": "SUITE 104",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033365",
            "telephone_number": "503-325-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "KENDRA",
        "middle_name": "LYNNE",
        "credential": "OTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-21",
        "last_updated": "2011-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OR",
            "license": "1008792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Voeller, M.D.
• Sarah Von Colditz, LCSW
• Cameron Kay Wagner, L.M.T
• Brook Paulette Waits, PSS CERTIFICATION
• Stacie Lee Walker, RN, APRN, IBCLC
• Watershed Community Wellness LLC (Watershed Wellness)
• Lorraine Watkins
• Jackie Diane Weaver, LMT
• Alexxis Weeks, CRM
• Lucas Wenker, MS, LPC

• Occupational Therapy Assistant in Astoria, OR
• Providers in Astoria, OR by specialty
• Occupational Therapy Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.