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

Mr. Justin W Kennedy, OTR/L

Individual provider Occupational Therapist · NPI 1508316621

Mr. Justin W Kennedy, OTR/L is an Occupational Therapist in Private Practice in Midland, Georgia. Qualified in 2015, 11 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Alabama and Georgia.

Years since qualifying
11
Licensed in
AL, GA
In the registry since
2016
Specialties on file
2
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

8640 Revere Ct
Midland, GA 31820-4223
Phone: (706) 577-4591
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT006206 (GA)
Occupational Therapist Taxonomy 225X00000X · Licence 4032 (AL)

Record details

NPI number1508316621
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedOctober 12, 2016
Last updated in NPPESOctober 12, 2016

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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