Individual provider Active NPI

Troy A Kennedy, OT

  • Occupational Therapist
  • Westlake, OH
National Provider Identifier
1811184690
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT006954 Issued in OH
Practice address
24723 Detroit Rd
Westlake, OH 44145-2526
Phone
(440) 808-6727
Fax
(216) 896-0825
NPI assigned
Sep 26, 2007
Last updated
Sep 26, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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 OT006954 OH Primary

Addresses

Primary practice location

24723 Detroit Rd
Westlake, OH 44145-2526

Mailing address

24723 Detroit Rd
Westlake, OH 44145-2526
Phone (440) 808-6727

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071204000029 OH Practitioner - Occupational Therapist in Private Practice 1850480559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Associates, Inc.Group PAC ID 8123915840, 15 clinicians

Practice addresses (Care Compare)

1502 Travelers PT
Avon, OH 44011-4046
Phone (440) 892-1440

24723 Detroit Rd
Westlake, OH 44145-2526
Phone (440) 892-1440

Merit-based Incentive Payment System (MIPS)

Final score
78.34 of 100Reported as group
Quality
59.29
Promoting interoperability
100
Improvement activities
40
Cost
68.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Associates, Inc CurrentSince Sep 1, 2007 Accepting new patients
Orthopaedic Associates, Inc CurrentSince Sep 1, 2007 Accepting new patients
Orthopaedic Associates, Inc. Past Accepting new patients

Locations

1502 Travelers Pt
Avon, OH 44011
Phone (440) 892-1440

24723 Detroit Rd
Westlake, OH 44145
Phone (440) 892-1440

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": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190764800000",
    "number": "1811184690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24723 DETROIT RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452526",
            "telephone_number": "440-808-6727",
            "fax_number": "216-896-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24723 DETROIT RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452526",
            "telephone_number": "440-808-6727",
            "fax_number": "216-896-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "TROY",
        "middle_name": "A",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT006954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.