Active NPI
Ashlyn Dixon Kennedy, OTR/L
- Pediatric Occupational Therapist
- Greenwood Village, CO
National Provider Identifier
1891309274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT.0006436
- Practice address
- 6535 S Dayton St Ste 1050
Greenwood Village, CO 80111-6134 - Phone
- (720) 439-9100
- NPI assigned
- Sep 3, 2020
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT.0006436 | CO | Primary |
Addresses
Primary practice location
6535 S Dayton St Ste 1050
Greenwood Village, CO 80111-6134
Mailing address
9840 Rosemont Ave Apt 11-102
Lone Tree, CO 80124-3163
Phone (901) 849-4263
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 |
|---|---|---|---|
| OT.0006436 | CO | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599091200000",
"number": "1891309274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9840 ROSEMONT AVE APT 11-102",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801243163",
"telephone_number": "901-849-4263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6535 S DAYTON ST STE 1050",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801116134",
"telephone_number": "720-439-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "ASHLYN",
"middle_name": "DIXON",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-03",
"last_updated": "2020-09-03",
"certification_date": "2020-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CO",
"license": "OT.0006436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood Village, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.