KENNEDY BRESNAHAN (NPI# 1376188623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376188623 |
| Entity Type | Individual |
| Full Name | KENNEDY BRESNAHAN |
| Credential | OTR/L |
| Practice Address |
3509 Interstate Blvd S Ste B Fargo ND 58103-2200 |
| Practice Telephone | 7013649070 |
| Practice Fax Number | 7013649071 |
| Mailing Telephone | 7013649070 |
| Mailing Fax Number | 7013649071 |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2019-11-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
1752 | ND | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3509 INTERSTATE BLVD S STE B |
| City | FARGO |
| State | ND |
| Zip Code | 58103-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821324476 | Phyllis Magelky Ltd | Speech-Language Pathologist | 3509 Interstate Blvd S Ste B, Fargo, ND 58103-2200 | 2009-11-02 |
| 1982120689 | Margaret Savage | Speech-Language Pathologist | 3509 Interstate Blvd S Ste B, Fargo, ND 58103-2200 | 2017-08-15 |
| 1952780900 | Michelle Olson | Speech-Language Pathologist | 3509 Interstate Blvd S Ste B, Fargo, ND 58103-2200 | 2015-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 225XP0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Pediatrics |
| Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities. |
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
|
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386853802 | Anna Lee Meissner | Occupational Therapist | 6681 56th Ave S, Fargo, ND 58104-5655 | 2007-05-21 |
| 1093831026 | Mary Susan Baumgartner | Occupational Therapist | 4372 52nd St S, Fargo, ND 58104-4237 | 2007-03-21 |
| 1861540973 | Stephen Preston Olson | Occupational Therapist | 3060 Frontier Way S, Fargo, ND 58104-8909 | 2007-01-08 |
| 1467539353 | Kristi Eslinger | Occupational Therapist | 2933 37th Ave S, Fargo, ND 58104-7046 | 2006-11-01 |
| 1952832271 | Jill A. Stroup | Occupational Therapist | 3060 Frontier Way S, Fargo, ND 58104-8909 | 2017-03-27 |
| 1639551377 | Carlie Danielle Rinas | Occupational Therapist | 3060 Frontier Way S, Fargo, ND 58104-8909 | 2015-06-18 |
| 1124414172 | Kacey Tomchuk | Occupational Therapist | 3060 Frontier Way S, Fargo, ND 58104-8909 | 2015-04-07 |
| 1447653910 | Lacey D Rust | Occupational Therapist | 801 Broadway N, Fargo, ND 58102-3641 | 2014-09-29 |
| 1326440900 | Kelli Erdmann | Occupational Therapist | 801 Broadway N, Fargo, ND 58102-3641 | 2014-09-25 |
| 1205100203 | Desiree Wildeman | Occupational Therapist | 3060 Frontier Way, Fargo, ND 58104-8909 | 2012-03-08 |
| Find all providers in FARGO | ||||
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| 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.