Allie Lynn Kennedy, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT008357 Issued in GA

Practice address

4875 Hog Mountain Rd Ste a
Flowery Branch, GA 30542-6450

Phone

(678) 828-8584

NPI assigned

Feb 21, 2022

Last updated

Feb 21, 2022By the provider in NPPES

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

• Allie Lynn McConnell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Nurtured by Nature Therapy LLC

  • Occupational Therapist
  • Clermont, GA
  • NPI 1093579138
  NPD Authorized official

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1841945557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5384 LAWSON RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305062721",
            "telephone_number": "678-591-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4875 HOG MOUNTAIN RD STE A",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305426450",
            "telephone_number": "678-828-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "ALLIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT008357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLIE",
            "last_name": "MCCONNELL",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Quentin Brandon Keasler, MS,ATC/L
• Patricia P Keller, C.S.A.
• Kellersurgical Assisting
• Edward Kelly, D.D.S.
• David Glenn Kemp, D.D.S.
• John Kent, PHD
• James Kercher
• Mary Kilman, CST/CSFA
• Hana Kim
• Hyun Soo Kim, PHARM.D.

• Occupational Therapist in Flowery Branch, GA
• Providers in Flowery Branch, 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 21, 2022; 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.