Madison Kennedy, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

10115466-4202 Issued in UT

Practice address

575 N 100 E
American Fork, UT 84003-1758

Phone

(801) 610-8400

NPI assigned

Dec 1, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1922718790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 N 100 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840031758",
            "telephone_number": "801-610-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 N 100 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840031758",
            "telephone_number": "801-610-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "MADISON",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "UT",
            "license": "10115466-4202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Ruth Keller, LMFT
• Matthew Kelsch
• Seth John Angelo Kelson, DPT
• Donna F. Kendall, LPC, NCC
• Kendell T. Davies DMD PLLC
• Kenneth E Hooton, O.D.
• J Cameron Kesler, DO
• Keys to Mending Therapy and Wellness, PLLC
• KG Medical Consulting
• Kick the Habit Addiction Medicine, LLC

• Occupational Therapy Assistant in American Fork, UT
• Providers in American Fork, UT by specialty
• Occupational Therapy Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.