Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kennedy Jo Brumbelow

Individual provider Occupational Therapist · NPI 1548191661

Kennedy Jo Brumbelow is an Occupational Therapist in Private Practice in Southlake, Texas. Licensed in Texas. Registered with an NPI since 2026.

Licensed in
TX
In the registry since
2026

Practice location Address checks out

101 Watermere Dr
Southlake, TX 76092-8116
Phone: (817) 431-8668
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 126494 (TX)

Record details

NPI number1548191661
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 27, 2026
Last updated in NPPESMay 27, 2026
Certification dateMay 27, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2026 (0 years in practice)
Accepts Medicare assignment Not indicated

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