MRS. KELLY KENNEDY (NPI# 1174647689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174647689 |
| Entity Type | Individual |
| Full Name | MRS. KELLY KENNEDY |
| Credential | OTR |
| Practice Address |
N4901 Dam Rd Delavan WI 53115-2927 |
| Mailing Address |
W9623 Walworth Woods Rd Delavan WI 53115-2438 |
| Practice Telephone | 2627402170 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2012-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 4194-26 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225X00000X | Occupational Therapist | 0720000540 | VT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841818051 | Kelly Renee Kennedy | Specialist/Technologist | 720 N Noyes Blvd, Saint Joseph, MO 64506-2813 | 2020-07-14 |
| 1003474784 | Kelly Kennedy | Counselor | 236 Moultrie Pl, Santa Paula, CA 93060-3241 | 2019-05-29 |
| 1376973198 | Kelly Leigh Kennedy | Nurse Practitioner | 5600 Brainerd Road, Suite B14, Chattanooga, TN 37411 | 2013-11-14 |
| 1093967903 | Kelly Jean Kennedy | Physical Therapy Assistant | 1221 Corey Dr, Whitehouse, TX 75791-3731 | 2008-10-22 |
| 1578572269 | Kelly David Kennedy | Chiropractor | 6 East First Avenue, Runnemede, NJ 08078-1101 | 2006-08-05 |
| 1942801956 | Kelly Kennedy | Nurse Practitioner | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2020-11-05 |
| 1689280406 | Kelly Marie Kennedy | Pharmacist | 500 W Grant St, Lake City, MN 55041-1143 | 2020-09-17 |
| 1427500701 | Kelly Kennedy | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2016-11-02 |
| 1841654399 | Kelly Kennedy | Dietitian, Registered | 777 North St, Pittsfield, MA 01201-4147 | 2016-04-11 |
| 1063880136 | Kelly Kennedy | Occupational Therapy Assistant | 118 Medical Dr, Carmel, IN 46032-2923 | 2015-09-08 |
| Street Address |
N4901 DAM RD |
| City | DELAVAN |
| State | WI |
| Zip Code | 53115-2927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265082580 | All Day Adult Care LLC | Clinic/Center | N4901 Dam Rd, Delavan, WI 53115-2927 | 2019-09-18 |
| 1922454693 | All Care Rehabilitation & Wellness LLC | Physical Therapist | N4901 Dam Rd, Delavan, WI 53115-2927 | 2016-05-11 |
| 1730518978 | Melissa Day | Physical Therapy Assistant | N4901 Dam Rd, Delavan, WI 53115-2927 | 2013-11-07 |
| 1194092387 | Erin Jeanne Murphy | Occupational Therapy Assistant | N4901 Dam Rd, Delavan, WI 53115-2927 | 2011-11-16 |
| 1114040276 | Jill Jackson | Speech-Language Pathologist | N4901 Dam Rd, Delavan, WI 53115-2927 | 2007-04-06 |
| 1134249246 | Thomas David Petersen | Speech-Language Pathologist | N4901 Dam Rd, Delavan, WI 53115-2927 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871049486 | Careatc - Andes Candies | Clinic/Center | 1400 E. Eisconsin, Delavan, WI 53115 | 2016-09-01 |
| 1407255797 | Jill Catherine Adams | Contractor | N44556 Dam Rd, Delavan, WI 53115 | 2014-08-22 |
| 1487930350 | Sheryl Jacobson | Pharmacist | 445 S Wright Street, Delavan, WI 53115 | 2011-10-24 |
| 1407152556 | Cannula Ear Cozy LLC | Durable Medical Equipment & Medical Supplies | N2444 Doris St., Delavan, WI 53115 | 2011-02-08 |
| 1710172630 | Timothy J Rasmussen LLC | Chiropractor | 1407 Racine St, Suite D, Delavan, WI 53115 | 2007-09-13 |
| 1407065873 | Debora Lee Nevermann | Physical Therapist | 824 B East Geneva Street, Delavan, WI 53115 | 2007-05-22 |
| 1740493006 | Karen St John | Physical Therapy Assistant | 905 East Geneva Street, Delavan, WI 53115 | 2007-05-07 |
| 1043430390 | Kristin M Grenier | Physical Therapy Assistant | 824 B East Geneva St, Delavan, WI 53115 | 2007-04-27 |
| 1891852034 | Maria Teresa Galgano Chadha | Dentist | 608 E Walworth Ave, Delavan, WI 53115 | 2007-01-03 |
| 1942396718 | Clifford Robert Poplar | Internal Medicine | 915 Geneva Street, Delavan, WI 53115 | 2006-10-05 |
| Find all providers in zip 53115 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720105331 | Diana Lynn Skogen | Occupational Therapist | 44070 220th St, Delavan, MN 56023-6814 | 2007-03-26 |
| 1558487272 | Arleen Katherine Hill | Occupational Therapist | N4901 Dam Rd Ste A, Delavan, WI 53115-2927 | 2007-03-22 |
| 1740313758 | Progressive Step Corp | Occupational Therapist | 824 E Geneva St, Suite B, Delavan, WI 53115-1932 | 2007-03-13 |
| 1902356108 | Michael Jason Moks | Occupational Therapist | 830 E Geneva St, Delavan, WI 53115-1932 | 2016-10-12 |
| 1649689738 | Ramon Alvarez IIi | Occupational Therapist | 905 E Geneva St, Delavan, WI 53115-1922 | 2014-08-04 |
| 1952691446 | April Doebert-fischer | Occupational Therapist | 905 E Geneva St, Delavan, WI 53115-1922 | 2011-04-18 |
| 1588897227 | Patricia Conlon Grosso | Occupational Therapist | 905 E Geneva St, Delavan, WI 53115-1922 | 2009-08-28 |
| 1336330968 | Diana Skogen, LLC | Occupational Therapist | 44070 220th St, Delavan, MN 56023-6814 | 2007-08-08 |
| 1568674729 | Patricia A Kirley | Occupational Therapist | 905 E Geneva St, Delavan, WI 53115-1922 | 2007-05-03 |
| 1295953826 | Julie Scurek | Occupational Therapist | 824 E Geneva St, Delavan, WI 53115-1932 | 2007-04-20 |
| Find all providers in DELAVAN | ||||
Please comment or provide details below to improve the information on MRS. KELLY KENNEDY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.