Kendra Keller Jack , OTR, L

Physician • Batavia, OH

Active NPI 1447668009 Individual Practitioner Female Practitioner

Practice location in NPPES

2400 Clermont Center Dr
Batavia, OH 451031990

Call 5137358300 Location details and other listings

Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

NPI assigned on July 28, 2014; this date does not establish years in practice.
No Medicare Part B / Part D records for this NPI in the CMS files shown here. CMS covers only Medicare fee-for-service / Part D claims and omits records with fewer than 11 beneficiaries, so this does not show whether the provider accepts Medicare or prescribes.

Practice Location & Contact Primary Location

Practice Address

2400 Clermont Center Dr

Batavia, OH 451031990

Telephone 5137358300

Before You Book

Paying without insurance? Prepare a cost-estimate request

Ask about interpreters and office accessibility

Organization at the Same NPPES Address or Phone

Clermont County General Health District Facility NPI 1407974520

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

What Public CMS Data Show

These CMS figures cover limited populations and published records; they are not quality ratings or medical advice.

Physician: NPPES taxonomy is a reported classification, not proof of board certification.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-08-19

Rehabilitation Hospital - Children Primary Specialty

NUCC Taxonomy Code: 283XC2000X

License # reported to NPPES IL 056.009954

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events

📍

Updated Practice Location August 19, 2021

Registered at 2400 CLERMONT CENTER DR, BATAVIA, OH 451031990 (Tel: 5137358300)

📍

Updated Business Mailing Address August 19, 2021

Registered at 2400 CLERMONT CENTER DR, BATAVIA, OH 451031990 (Tel: 5137358300)

👤

Provider Name / Credentials Updated August 19, 2021

Recorded as KENDRA JACK, OTR/L

✅

NPI Profile Active July 28, 2014

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) July 28, 2014

Registered at 2211 N OAK PARK AVE, CHICAGO, IL 607073351 (Tel: 7733855875)

📍

Business Mailing Address (Initial Record) July 28, 2014

Registered at 2211 N OAK PARK AVE, CHICAGO, IL 607073351

👤

Provider Name / Credentials (Initial Record) July 28, 2014

Recorded as KENDRA KELLER, OTR/L

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2014

Rehabilitation Hospital (license number reported to NPPES: IL 056.009954)

🟢

Initial NPI Registration & Enumeration July 28, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1447668009

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 28, 2014

Last Update: August 19, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2400 Clermont Center Dr

Batavia, OH 451031990

Phone: 5137358300

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.