Active NPI
Kendra Wakeen, OTR
- Occupational Therapist
- Sandown, NH
National Provider Identifier
1952921728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3006
- Practice address
- 56 Compromise LN
Sandown, NH 03873-2064 - Phone
- (603) 377-6019
- NPI assigned
- Apr 22, 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3006 | NH | Primary |
Addresses
Primary practice location
56 Compromise LN
Sandown, NH 03873-2064
Mailing address
56 Compromise LN
Sandown, NH 03873-2064
Phone (603) 377-6019
Other practice location 1
195 Dover Point Rd
Dover, NH 03820-4612
Phone (603) 742-2612
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 |
|---|---|---|---|
| 3006 | NH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587513600000",
"number": "1952921728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 COMPROMISE LN",
"city": "SANDOWN",
"state": "NH",
"postal_code": "038732064",
"telephone_number": "603-377-6019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 COMPROMISE LN",
"city": "SANDOWN",
"state": "NH",
"postal_code": "038732064",
"telephone_number": "603-377-6019"
}
],
"practiceLocations": [
{
"address_1": "195 Dover Point Rd",
"address_purpose": "LOCATION",
"city": "Dover",
"state": "NH",
"postal_code": "038204612",
"country_code": "US",
"telephone_number": "603-742-2612",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WAKEEN",
"first_name": "KENDRA",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-22",
"last_updated": "2020-04-22",
"certification_date": "2020-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NH",
"license": "3006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sandown, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.