NPI age
19 years
Enumerated 2007-05-07
● Active
Type 1 · Individual
Frederica Kennedy, OTR/L, OTD
Kennedy is 1 of 3 occupational therapist providers in Braselton and 1 of 516 in Georgia.
Primary specialty
Occupational Therapist
Plus 2 subspecialties
Licensed in
GA, IL
2 states
Status
Active
No deactivations on record
Last NPPES update
2018-03-17
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 516 active occupational therapist providers in Georgia.
NPI age
19 years
↑ 7 yr above median (12 yr)
State licenses
2 states
Top 96% — 3% of peers are multi-state
Subspecialties
2
In the 19% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-05Enumerated in NPPES
2007
2026
Where they practice
Practice location
2095 Highway 211 Nw Ste D
Braselton, GA 305173402
Mailing address
2791 Summit Valley Drive
Dacula, GA 30019
Additional practice locations
1 secondary location on file with NPPES.
Location 2
1949 Highway 81 Ste 100
Loganville, GA 300524583
Specialties
-
Occupational Therapist PrimaryOccupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life...
-
Developmental TherapistA Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by...
-
Occupational TherapistAn occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003200220B | |
| 05 (GA) | 003200220A |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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