Kennedy Deann Hall, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2025045999 Issued in MO

Practice address

103 Corporate Lake Dr Ste a
Columbia, MO 65203-7290

Phone

(573) 639-2279

NPI assigned

Nov 17, 2025

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Hero Clinic

  • Speech-Language Pathologist
  • Columbia, MO
  • NPI 1639997505
  NPD

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

{
    "created_epoch": "1763337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1902766363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CORPORATE LAKE DR STE A",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652037290",
            "telephone_number": "573-639-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CORPORATE LAKE DR STE A",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652037290",
            "telephone_number": "573-639-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "KENNEDY",
        "middle_name": "DEANN",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-17",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2025045999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Hall
• Jamie Lea Hall, PHARMD RPH
• Jason Todd Hall, CRNA
• Jennifer Jean Hall
• Josh J Hall, DO
• Melba Hall, APRN
• Shelby Hall, RN
• Randall E Halley, DO
• Haley Brooke Hallford
• Laura J Halliburton, PT

• Occupational Therapy Assistant in Columbia, MO
• Providers in Columbia, MO by specialty
• Occupational Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.