Sherry Gayle Kenin, MS OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT 13120 Issued in FL

Practice address

1269 Main Street
Concord, MA 01742

Phone

(978) 728-7780

Fax

(978) 287-7801

NPI assigned

Aug 14, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546214400000",
    "number": "1710133301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1269 MAIN STREET",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "01742",
            "telephone_number": "978-728-7780",
            "fax_number": "978-287-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1269 MAIN STREET",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "01742",
            "telephone_number": "978-728-7780",
            "fax_number": "978-287-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENIN",
        "first_name": "SHERRY",
        "middle_name": "GAYLE",
        "name_prefix": "Mrs.",
        "credential": "MS OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-14",
        "last_updated": "2018-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "111364",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "DC",
            "license": "OT010000310",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119001432",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 13120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000705700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roseanne C. Keefe, L.I.C.S.W.
• Sara Marie Keeler, BCAT
• David Keevil, PSY.D
• Kimberly Ann Kelley, RPH
• Lisa M Kelly, M.D.
• Breana Kennedy, PHARMD
• Sheila F Kennedy, M.D.
• Kristen Kenney
• Lesley Kenney, NP
• Regan Kerr, LCSW

• Occupational Therapist in Concord, MA
• Providers in Concord, MA by specialty
• Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2018; 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.