FREDERICA KENNEDY (OTR/L, OTD) – Pediatric Occupational Therapist, NPI 1396958450

FREDERICA KENNEDY (OTR/L, OTD) is a healthcare provider. based in Loganville, Georgia. specializing in Pediatric Occupational Therapist. They hold the professional credentials OTR/L, OTD. They hold a License No. 056.006013 (IL). The NPI Number for FREDERICA KENNEDY (OTR/L, OTD) is 1396958450

Main info

Female
Sole Proprietor
Name
FREDERICA KENNEDY (OTR/L, OTD)
NPI
1396958450
Phone
(770) 207-6390
Address
1949 Highway 81 Ste 100
Enumeration Date
7 May 2007
Last Update Date
17 March 2018
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for FREDERICA KENNEDY (OTR/L, OTD)

  • 1949 Highway 81 Ste 100

    Loganville, GA 300524583

    Phone: (770) 207-6390

    Fax: (678) 374-4855

    Type: Location

  • 2791, Summit Valley Drive, Harbins Landing Estates, Dacula, Gwinnett County, Georgia, 30019, United States

    DACULA, GA 30019

    Phone: (708) 612-2881

    Fax: (708) 283-8685

    Type: Mailing

  • Highway 211 Northwest, Braselton, Barrow County, Georgia, 30548, United States

    BRASELTON, GA 305173402

    Phone: (770) 207-6390

    Fax: (678) 374-4855

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30052)

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Frequently asked questions

Is FREDERICA KENNEDY (OTR/L, OTD) listed with a National Provider Identifier?
Yes — FREDERICA KENNEDY (OTR/L, OTD) has NPI 1396958450 on file in the registry.
Is FREDERICA KENNEDY (OTR/L, OTD) shown as active in public data?
Registry records indicate FREDERICA KENNEDY (OTR/L, OTD) maintains an active NPI.
What expertise is attributed to FREDERICA KENNEDY (OTR/L, OTD)?
FREDERICA KENNEDY (OTR/L, OTD)'s specialty line reads Pediatric Occupational Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with FREDERICA KENNEDY (OTR/L, OTD)?
Directory geography for FREDERICA KENNEDY (OTR/L, OTD) centers on Loganville, Georgia.
When was this NPI issued?
Enumeration for FREDERICA KENNEDY (OTR/L, OTD) is noted as May 7, 2007 where the registry provides it.

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