KENNEDY PORTER — NPI 1285361444 (Licensed & Credentialed Occupational Therapy Assistant in HOLTON, MI)

CMS-1500 Box 24J / 33a • NPI

1285361444

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

224Z00000X

Licensed & Credentialed Occupational Therapy Assistant

Box 32 Service Location & ZIP+4

5217 HOLTON WHITEHALL RD, HOLTON, MI, 49425-7503

✓ 9-Digit EDI 837 ZIP+4 (49425-7503)

Practice Phone & Referral Fax

(231) 683-8009

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1285361444 (KENNEDY PORTER) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1285361444` (NPI-1 Individual Practitioner)
Provider / Legal Name	KENNEDY PORTER
Plain-English Specialty	Licensed & Credentialed Occupational Therapy Assistant NUCC Code: `224Z00000X` (Occupational Therapy Assistant)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	5217 HOLTON WHITEHALL RD, HOLTON, MI, 49425-7503
Practice Telephone / Fax	Tel: (231) 683-8009
Administrative Mailing Address	5217 HOLTON WHITEHALL RD, HOLTON, MI, 49425-7503
Enumeration & Last Sync	Enumerated: 2022-08-06 \| CMS Record Updated: 2022-08-06

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

5217 HOLTON WHITEHALL RD, HOLTON, MI, 49425-7503

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Plain-English Taxonomy & CMS Crosswalk (224Z00000X)

What Does Taxonomy Code 224Z00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 224Z00000X translates to:
"Licensed & Credentialed Occupational Therapy Assistant"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Occupational Therapy Assistant for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (KENNEDY PORTER)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`224Z00000X` — Occupational Therapy Assistant Plain English: Licensed & Credentialed Occupational Therapy Assistant	State: MI \| License: `5202009919` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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KENNEDY PORTER (NPI #1285361444)