Kathleen Lenahan, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR2668 Issued in AR

Practice address

2163 Grant 74
Sheridan, AR 72150-6873

Phone

(501) 917-9835

NPI assigned

Jul 20, 2016

Last updated

Jul 22, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in AR

Enrollment records 1

Medicare enrollment (NPD)

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.

• Alta Integrated Wellness

  • Occupational Therapist
  • Benton, AR
  • NPI 1649063264
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1710330220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2163 GRANT 74",
            "city": "SHERIDAN",
            "state": "AR",
            "postal_code": "721506873",
            "telephone_number": "501-917-9835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2163 GRANT 74",
            "city": "SHERIDAN",
            "state": "AR",
            "postal_code": "721506873",
            "telephone_number": "501-917-9835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENAHAN",
        "first_name": "KATHLEEN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR2668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mollye Jenay Koonce, APRN, FNP-C
• Stephanie Korwes, QBHP
• Garrett Wade Krisell, APRN, FNP-C
• Natasha Leach, LMSW
• Margo Lee, LMSW
• David Lengefeld, LPC
• Katherine Lowry, MHPP
• Jessica Lunsford, APRN-CNP
• Mainline Health Systems Inc (Sheridan Medical Clinic)
• Mainline Health Systems Inc (Sheridan School)

• Occupational Therapist in Sheridan, AR
• Providers in Sheridan, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; 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.