Active NPI
Kennedy Albertsman, OTR/L
- Occupational Therapist
- Chesterton, IN
National Provider Identifier
1871182097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31007963A
- Practice address
- 1120 S Calumet Rd Ste 3
Chesterton, IN 46304-3286 - Phone
- (219) 983-9675
- Fax
- (219) 983-9681
- NPI assigned
- Jan 12, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31007963A | IN | Primary |
Addresses
Primary practice location
1120 S Calumet Rd Ste 3
Chesterton, IN 46304-3286
Mailing address
7371 Boardwalk
Crown Point, IN 46307-8258
Phone (815) 483-8718
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31007963A | IN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Valley Pediatric Therapy, LLC | Occupational Therapist | Current | Accepting new patients |
| Kidworks, LLC | Occupational Therapist | Past | Accepting new patients |
Locations
1831 W Rose Garden Ln
Ste 4
Phoenix, AZ 85027
Phone (602) 808-9912
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1366899171
Occupational Therapist
-
- Occupational Therapist
- Chesterton, IN
- NPI 1033295472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681084800000",
"number": "1871182097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7371 BOARDWALK",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463078258",
"telephone_number": "815-483-8718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 S CALUMET RD STE 3",
"city": "CHESTERTON",
"state": "IN",
"postal_code": "463043286",
"telephone_number": "219-983-9675",
"fax_number": "219-983-9681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALBERTSMAN",
"first_name": "KENNEDY",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-12",
"last_updated": "2023-04-10",
"certification_date": "2023-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31007963A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesterton, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.