MR. JUSTIN W KENNEDY OTR/L
NPI 1508316621
Occupational Therapist in Midland, GA

Active since October 12, 2016Accepts Medicare Assignment
8640 REVERE CT, MIDLAND, GA 31820(706) 577-4591 Get Directions Write a Review

NPPES record last updated: October 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Justin W Kennedy Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JUSTIN W KENNEDY OTR/L (NPI 1508316621) is an individual occupational therapist in Midland, Georgia, licensed in Georgia (OT006206) and active in the NPI registry since October 2016. He is a graduate of Other (2015).

NPPES Registry Identity

NPI1508316621
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameMR. JUSTIN W KENNEDYCredential: OTR/L
Location Address8640 REVERE CTMidland, GA 31820-4223
Mailing Address8640 Revere CtMidland, GA 31820-4223 · (706) 577-4591
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 12, 2016
NPI 1508316621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Licenses Licensed in GA · OT006206 Licensed in AL · 4032
Definition
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.
8640 REVERE CT, Midland, GA 31820

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Justin W Kennedy Otr/l is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244577153
PECOS Enrollment IDI20190131000887

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
8640 REVERE CT
MIDLAND, GA 31820

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Kennedy's NPI number?

The NPI number for Justin Kennedy is 1508316621. It was assigned to this individual provider in the NPPES registry on October 12, 2016.

Where is Justin Kennedy located?

Justin Kennedy practices at 8640 Revere Ct, Midland, GA 31820. The listed phone number is (706) 577-4591.

What is Justin Kennedy's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Justin Kennedy enrolled in Medicare?

Yes. Justin Kennedy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Justin Kennedy was last updated on October 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.