Doreen Marie Kenworthy, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

00741 Issued in RI

Practice address

215 Toll Gate Rd Ste 205
Warwick, RI 02886-4461

Phone

(401) 732-0999

NPI assigned

Dec 3, 2008

Last updated

Dec 3, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228262400000",
    "number": "1023253234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 TOWLE DR",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015201266",
            "telephone_number": "508-887-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 TOLL GATE RD STE 205",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864461",
            "telephone_number": "401-732-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENWORTHY",
        "first_name": "DOREEN",
        "middle_name": "MARIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "RI",
            "license": "00741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI  PTA LICENSE # 00741",
            "identifier": "PTA 00741",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kent Regency Center Opco, LLC
• Kent Rheumatologists, Inc.
• Kent Surgical Associates, Inc.
• Kent Urology, Inc.
• Sara E Kent, PA-C
• Steven M Kenyon, DMD
• Danielle Keough, PTA
• Michael Kerr, LMHC
• Martin J Kerzer, DO
• Keystone Audiology, LLC

• Physical Therapy Assistant in Warwick, RI
• Providers in Warwick, RI by specialty
• Physical Therapy Assistant in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.