CHARLOTTE U KENNEDY (OT) – Occupational Therapist, NPI 1043534381

CHARLOTTE U KENNEDY (OT) is a healthcare provider. based in Wasilla, Alaska. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OT. They hold a License No. OT-518 (HI). The NPI Number for CHARLOTTE U KENNEDY (OT) is 1043534381

Main info

Female
58 Years Of Experience
Accepts Medicare Assignment
Name
CHARLOTTE U KENNEDY (OT)
NPI
1043534381
Phone
(907) 376-6363
Address
650 N SHORELINE DR
Enumeration Date
15 March 2010
Last Update Date
19 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8082691720
Graduation Year
1968 (58 years ago)
PAC ID
5698803583
Group Practice PAC ID
4587077102
Professional Enrollment ID
I20100513000870
Address ID
HI967538145KI1325XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

61 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in HI

Provider Addresses for CHARLOTTE U KENNEDY (OT)

  • 650 N SHORELINE DR

    WASILLA, AK 996546677

    Phone: (907) 376-6363

    Fax: (907) 376-6366

    Type: Mailing

  • 1325 S KIHEI RD

    STE 102

    KIHEI, HI 967538145

    Phone: (808) 269-1720

    Fax: (866) 431-9522

    Type: Mailing

  • 80 Mahalani St

    Wailuku, HI 967932531

    Phone: (808) 243-6000

    Type: Location

  • South Kihei Road, Kihei, Maui County, Hawaii, 96753, United States

    KIHEI, HI 967538145

    Phone: (907) 622-6363

    Fax: (907) 622-6366

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-05-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100513000870IOccupational Therapist In Private PracticeHITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes50366$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes32548$0
97165Evaluation for occupational therapy, typically 30 minutes7169$0
View full utilization report →

Insurance plans in this area (ZIP 99654)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587077102View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeHI

Reviews

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Frequently asked questions

How is CHARLOTTE U KENNEDY (OT) identified in CMS data?
CMS-hosted NPPES data lists CHARLOTTE U KENNEDY (OT) with NPI 1043534381.
Is CHARLOTTE U KENNEDY (OT) listed as active for patients and plans?
The listing shows CHARLOTTE U KENNEDY (OT) as active in the NPI system.
What healthcare role does CHARLOTTE U KENNEDY (OT) hold?
Scheduling teams often label CHARLOTTE U KENNEDY (OT) under Occupational Therapist. Clinical services aligned with this taxonomy classification.
Where is CHARLOTTE U KENNEDY (OT) based?
CHARLOTTE U KENNEDY (OT) is tied to Wasilla, Alaska in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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