Marisa A Kendo, OT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT61029052 Issued in WA

Practice address

9425 N Nevada St
Spokane, WA 99218-5014

Phone

(509) 270-0065

Fax

(509) 319-2520

NPI assigned

Feb 6, 2020

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 identifiers 1

Electronic endpoints 1

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": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1780216986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9425 N NEVADA ST STE 300",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181286",
            "telephone_number": "509-270-0065",
            "fax_number": "509-319-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9425 N NEVADA ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992185014",
            "telephone_number": "509-270-0065",
            "fax_number": "509-319-2520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9425 N Nevada St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992181286",
            "country_code": "US",
            "telephone_number": "509-270-0065",
            "fax_number": "509-319-2520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11915 E Broadway Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992064997",
            "country_code": "US",
            "telephone_number": "509-270-0065",
            "fax_number": "509-319-2520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENDO",
        "first_name": "MARISA",
        "middle_name": "A",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WA",
            "license": "OT61029052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OT61029052",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicole@mtspokanepediatrics.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Spokane",
            "address_1": "9425 N Nevada St",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992185014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Kristin Kempff
• Kendall D Vanhorne DDS, PS
• Carol Jean Kendall
• Kendrick Mason Productions LLC
• George William Keng, MD
• Cody Thomas Kenison, D.P.T.
• Richard Frankland Kennard, M.D.
• A John Kennedy, RPH

• Pediatric Occupational Therapist in Spokane, WA
• Providers in Spokane, WA by specialty
• Pediatric Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.