Joyce P Kennedy, O.T.

Primary specialty

Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X

License

OT2613 Issued in ME

Practice address

618 Main St
Goodwill Industries of Nne
Lewiston, ME 04240

Phone

(207) 795-6110

Fax

(207) 795-6189

NPI assigned

Feb 29, 2012

Last updated

Apr 14, 2015By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1861766453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 MAIN ST",
            "address_2": "GOODWILL INDUSTRIES OF NNE",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "04240",
            "telephone_number": "207-795-6110",
            "fax_number": "207-795-6189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 MAIN ST",
            "address_2": "GOODWILL INDUSTRIES OF NNE",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "04240",
            "telephone_number": "207-795-6110",
            "fax_number": "207-795-6189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "JOYCE",
        "middle_name": "P",
        "name_prefix": "Miss",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-29",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "ME",
            "license": "OT2613",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "ME",
            "license": "OT2613",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Jo Holt Kelsey, REGISTERED NURSE
• Katherine A Kemp
• Roberta Kemper
• Lee G Kendall Jr., MD
• Betty J Kennedy, MD
• Bruce Kenney
• Nicole Jean Kenney
• Rachel Anne Kerner, D.O.
• Katherine Kessler, D.O.
• Key 3 West, Inc (Central Maine Counseling Services)

• Neurorehabilitation Occupational Therapist in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Neurorehabilitation Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.