NPI Code Detail JSON Logo

1164296547 NPI number — KENNEDY HALMAN OTR

NPI Number: 1164296547
Health Care Provider/Practitioner: KENNEDY HALMAN OTR

Information about “1164296547” NPI (KENNEDY HALMAN OTR) exists in 1164296547 in HTML format HTML  |  1164296547 in plain Text format TXT  |  1164296547 in PDF (Portable Document Format) PDF  |  1164296547 in an XML format XML  formats.

NPI Number : 1164296547 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1164296547",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HALMAN",
    "FirstName": "KENNEDY",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "OTR",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RODRIGUES",
    "OtherFirstName": "KENNEDY",
    "OtherMiddleName": "T",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "OTR",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "3784 FAIRWAY PARK DR APT 207",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COPLEY",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "44321-2979",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "330-861-9416",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "16363 PEARL RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "STRONGSVILLE",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "44136-6002",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "440-316-2416",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/07/2023",
    "LastUpdateDate": "11/07/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225X00000X",
        "TaxonomyName": "Occupational Therapist",
        "LicenseNumber": "OT012713",
        "LicenseNumberStateCode": "OH",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.