KENNEDY M BRUMMOND OT
NPI 1659018240
Occupational Therapist in Green Bay, WI

Active since May 16, 2022
744 S WEBSTER AVE, GREEN BAY, WI 54301(920) 433-3655(920) 433-3539 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 27, 2026, May 18, 2022 (2 updates tracked since 2022).

About Kennedy M Brummond Ot NPPES

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

KENNEDY M BRUMMOND OT (NPI 1659018240) is an individual occupational therapist in Green Bay, Wisconsin, licensed in Wisconsin (7275-26) and active in the NPI registry since May 2022. She maintains a secondary practice location in Green Bay.

NPPES Registry Identity

NPI1659018240
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameKENNEDY M BRUMMONDCredential: OT
Location Address744 S WEBSTER AVEGreen Bay, WI 54301-3505
Mailing AddressPo Box 22487Green Bay, WI 54305-2487
Fax(920) 433-3539
Sole ProprietorNo
Enumeration DateMay 16, 2022
Last NPPES UpdateMay 27, 20262 updates tracked since enumeration
NPPES CertifiedMay 27, 2026
NPI 1659018240 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
License Licensed in WI · 7275-26
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.
744 S WEBSTER AVE, Green Bay, WI 54301

Other Names 1

Former Name (1)Kennedy Spang

Secondary Practice Location 1

Location 1725 S Webster AveGreen Bay, WI 54301-3500 · Phone (920) 433-3655 · Fax (920) 433-3539

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
744 S WEBSTER AVE
GREEN BAY, WI 54301
Internal Medicine (Pulmonary Disease)
744 S WEBSTER AVE
GREEN BAY, WI 54301
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
744 S WEBSTER AVE
GREEN BAY, WI 54301
Internal Medicine
744 S WEBSTER AVE
GREEN BAY, WI 54301
Nurse Practitioner (Neonatal)
744 S WEBSTER AVE
GREEN BAY, WI 54301
Anesthesiologist Assistant
744 S WEBSTER AVE
GREEN BAY, WI 54301
Occupational Therapist
744 S WEBSTER AVE
GREEN BAY, WI 54301
Nurse Practitioner
744 S WEBSTER AVE
GREEN BAY, WI 54301

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 Kennedy Brummond's NPI number?

The NPI number for Kennedy Brummond is 1659018240. It was assigned to this individual provider in the NPPES registry on May 16, 2022. The provider is also known as Kennedy Spang.

Where is Kennedy Brummond located?

Kennedy Brummond practices at 744 S Webster Ave, Green Bay, WI 54301. The listed phone number is (920) 433-3655.

What is Kennedy Brummond's specialty?

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

What insurance does Kennedy Brummond accept?

Health plans from CareSource (Common Ground Healthcare) list Kennedy Brummond as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kennedy Brummond was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.