Colleen Kennedy

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC003623L Issued in PA

Practice address

214 Dylan LN
Phoenixville, PA 19460-4770

Phone

(267) 221-6410

NPI assigned

Oct 12, 2015

Last updated

Oct 12, 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 1

Addresses

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": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444608000000",
    "number": "1861863219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 DYLAN LN",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 DYLAN LN",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604770",
            "telephone_number": "267-221-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "COLLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-12",
        "last_updated": "2015-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC003623L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Keller, CPS
• Bridgette Kelliher
• Cynthia Kellogg, M.D.
• Andrew John Kelly, PA-C
• Kimberly Kelly, M.A., L.P.C
• Taylor Kenny
• Jane Kepics
• Mary Kereda, MA. BSL
• Miriam L Kereda
• Denise Petrino Kershner, PT

• Occupational Therapist in Phoenixville, PA
• Providers in Phoenixville, PA by specialty
• Occupational Therapist in Pennsylvania

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