Kennedy J Wilson, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2026046105 Issued in MO

Practice address

2864 S Nettleton Ave
Springfield, MO 65807-5970

Phone

(417) 605-7168

Fax

(417) 708-0889

NPI assigned

Sep 23, 2026

Last updated

Oct 1, 2026By 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

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

{
    "created_epoch": "1790121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1891608873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2864 S NETTLETON AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075970",
            "telephone_number": "417-605-7168",
            "fax_number": "417-708-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2864 S NETTLETON AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075970",
            "telephone_number": "417-605-7168",
            "fax_number": "417-708-0889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1721 W Elfindale St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658071295",
            "country_code": "US",
            "telephone_number": "417-605-7100",
            "fax_number": "417-708-0889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4722 E 32nd St",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648044411",
            "country_code": "US",
            "telephone_number": "417-605-7100",
            "fax_number": "417-708-0889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33 Gage Dr",
            "address_purpose": "LOCATION",
            "city": "Hollister",
            "state": "MO",
            "postal_code": "656725862",
            "country_code": "US",
            "telephone_number": "417-605-7100",
            "fax_number": "417-708-0889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2673 E Sawyer Rd",
            "address_purpose": "LOCATION",
            "city": "Republic",
            "state": "MO",
            "postal_code": "657387574",
            "country_code": "US",
            "telephone_number": "417-605-7100",
            "fax_number": "417-708-0889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 NE Colbern Rd",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640864710",
            "country_code": "US",
            "telephone_number": "417-605-7100",
            "fax_number": "417-708-0889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KENNEDY",
        "middle_name": "J",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-23",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2026046105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph V Wilson
• Joy Wilson, LPC
• Julie A Wilson, LPC
• Karly Wilson, FNP
• Keith L Wilson III, MS, LPC
• Leah Wilson, LPC
• Lori J. Wilson, M.D.
• Marlana Renee Wilson
• Megan Loree Wilson, PMHNP
• Nicole R Wilson, MSW, LMSW

• Occupational Therapist in Springfield, MO
• Providers in Springfield, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.