Carol Christine Kennedy, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

340463 Issued in OR

Practice address

900 SE Oak St
Suite #202
Hillsboro, OR 97123-4285

Phone

(503) 648-9565

Fax

(503) 648-1282

NPI assigned

Aug 26, 2009

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

• Carol Christine Reinisch Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/dab37ab4-940f-46d2-83dd-9830ab97c4d5/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Care Partners

  • Community Based Hospice Care Agency
  • Portland, OR
  • NPI 1255365904
  NPD (past)
• Tuality Physicians, P.C.

  • Family Medicine Physician
  • Hillsboro, OR
  • NPI 1073691556
  NPD (past)

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251244800000",
    "number": "1861625725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SE OAK ST",
            "address_2": "SUITE #202",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234285",
            "telephone_number": "503-648-9565",
            "fax_number": "503-648-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SE OAK ST",
            "address_2": "SUITE #202",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234285",
            "telephone_number": "503-648-9565",
            "fax_number": "503-648-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "CAROL",
        "middle_name": "CHRISTINE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "340463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "REINISCH",
            "middle_name": "CHRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelsey Papadatos Counseling LLC
• Bonnie Kemball
• Judith Marie Kemp, MD
• Carmen G Kendall, MD
• April A Kennedy, OTR/L
• Christina Kennedy
• Samuel Kennedy, LMT
• Bruce Patrick Kenofer, PH.D.
• Lara Kent
• Rachael Nicol Kenyon, O.D.

• Occupational Therapist in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.