Individual provider Active NPI

Kiana Kennedy, DPT

  • Physical Therapist
  • New Hartford, NY
National Provider Identifier
1043196850
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
054972 Issued in NY
Practice address
3917 Oneida St
New Hartford, NY 13413-8900
Phone
(315) 507-3011
NPI assigned
Aug 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 054972 NY Primary

Addresses

Primary practice location

3917 Oneida St
New Hartford, NY 13413-8900

Mailing address

3917 Oneida St
New Hartford, NY 13413-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250825001041 NY Practitioner - Physical Therapist in Private Practice 1355841370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports Physical Therapy of New York, P.C.Group PAC ID 4284531674, 83 clinicians

Practice addresses (Care Compare)

91 Perimeter Rd
Suite 160
Rome, NY 13441-4019
Phone (315) 336-3480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
054972NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Caruso PT CurrentSince Jul 6, 2026 Accepting new patients
Sports Physical Therapy of New York, P.C. Physical Therapist CurrentSince Aug 13, 2025 Accepting new patients

Locations

703 Granite St
Ste 3
Braintree, MA 02184

285 Delaware Ave
Ste 116
Buffalo, NY 14202
Phone (716) 381-8214

600 French Rd
New Hartford, NY 13413
Phone (315) 266-0010

3917 Oneida St
New Hartford, NY 13413
Phone (315) 404-4217

91 Perimeter Rd
Ste 160
Rome, NY 13441
Phone (315) 336-3480

91 Perimeter Rd
Rome, NY 13441
Phone (315) 334-4786

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1043196850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3917 ONEIDA ST",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134138900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3917 ONEIDA ST",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134138900",
            "telephone_number": "315-507-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "KIANA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-15",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "054972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.