Stephanie A. Kenneally, MOT, OTR/L
NPI 1104101617ActiveIndividual· Contractor· Freehold, NJ
Contractor (MOT, OTR/L) with Apex Home Therapy LLC, practicing in Freehold, New Jersey. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1104101617 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MOT, OTR/L |
| Sole proprietor | Yes |
| NPI issued | Oct 15, 2011 |
| Last updated in NPPES | Apr 9, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Contractor Primary | 171W00000X | 46TR0542000 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (NJ) |
|---|
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Apex Home Therapy LLCFreehold, NJ · 4 clinicians
Other Contractor providers in Freehold
- 1134424658