Individual provider Active NPI

John Francis Kennedy, MOT, OTR/L

  • Occupational Therapist
  • Boynton Beach, FL
National Provider Identifier
1699948182
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT10179 Issued in FL
Practice address
11073 Brandywine Lake Way
Boynton Beach, FL 33473-4889
Phone
(561) 714-7332
NPI assigned
Apr 7, 2008
Last updated
Dec 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 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 OT10179 FL Primary

Addresses

Primary practice location

11073 Brandywine Lake Way
Boynton Beach, FL 33473-4889

Mailing address

11073 Brandywine Lake Way
Boynton Beach, FL 33473-4889
Phone (561) 714-7332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121218000107 FL Practitioner - Occupational Therapist in Private Practice 8628220738 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT10179FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kennedy Health Care, Inc. CurrentSince Nov 1, 2012 Accepting new patients
Home Care Accelerated,LLC Current Accepting new patients
Dynamic Rehab Services LLC Current Accepting new patients

Organizations & group practices 3

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": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1699948182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11073 BRANDYWINE LAKE WAY",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334734889",
            "telephone_number": "561-714-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11073 BRANDYWINE LAKE WAY",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334734889",
            "telephone_number": "561-714-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "JOHN",
        "middle_name": "FRANCIS",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-07",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT10179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.