Kendyl Diane Stewart, MS, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OC018773 Issued in PA

Practice address

1920 Swarthmore Ave Ste 5
Lakewood, NJ 08701-4780

Phone

(215) 839-6144

NPI assigned

Nov 15, 2022

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

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Behaviorcare LLC

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1588297998
  NPD

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1871202192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S FAWN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 SWARTHMORE AVE STE 5",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014780",
            "telephone_number": "215-839-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "KENDYL",
        "middle_name": "DIANE",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "PA",
            "license": "OC018773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Filipa Steussing, NP-C
• Steven Bresler Dental LLC
• Allison G. Stevens, AGACNP-BC
• April Lynn Stevenson, RN
• Faye Wilson Stewart, LISW
• Shannon Stoll
• Rachel Stone, BCBA
• Straight Talk Speech and Language LLC
• Micah Straight
• Calli Stratton, PMHNP-BC

• Pediatric Occupational Therapist in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Pediatric Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.