Patricia J Kidwell, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

001950 Issued in GA

Practice address

2415 Parkwood Dr
O.P. Rehabilitation
Brunswick, GA 31520-4722

Phone

(912) 466-5362

NPI assigned

Jan 12, 2006

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

Other names 1

• Patty Jo Palmer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1700865318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 RICE ML",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315225416",
            "telephone_number": "912-638-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 PARKWOOD DR",
            "address_2": "O.P. REHABILITATION",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204722",
            "telephone_number": "912-466-5362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDWELL",
        "first_name": "PATRICIA",
        "middle_name": "J",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "001950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATTY",
            "last_name": "PALMER",
            "middle_name": "JO",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Harold L Kent, M. D.
• Jennifer M Kerr, MS, RDN, LD
• Kelsey Key, FNP
• Khalil Khlifi, PHARMD.
• Thomas Kidder
• Holly Diskin Kinsey, FNP
• Kimberly Ann Kirk, AGACNP
• Donna Kirkland, LPN
• Claire Marie Kitchen
• Stephen F Kitchen, MD

• Occupational Therapist in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.