Individual provider Active NPI

Lori Anne Kennah, PT, PHD

  • Physical Therapist
  • Pittsburgh, PA
National Provider Identifier
1043406358
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT019288 Issued in PA
Practice address
826 Hazelwood Ave
Pittsburgh, PA 15217-2972
Phone
(412) 414-1988
Fax
(412) 924-4079
NPI assigned
Sep 20, 2007
Last updated
Apr 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 22253 MD
Physical Therapist 225100000X PT019288 PA Primary

Addresses

Primary practice location

826 Hazelwood Ave
Pittsburgh, PA 15217-2972

Mailing address

645 Baltimore Annapolis Blvd
Suite 111
Severna Park, MD 21146
Phone (410) 384-9129

Other practice location 1

645 Baltimore Annapolis Blvd
Suite 111
Severna Park, MD 21146-3931
Phone (410) 384-9129

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250509000702 PA Practitioner - Physical Therapist in Private Practice 2961929203 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
22253MDMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cypress Creek Therapy Associates LLC Physical Therapist PastSince May 11, 2011 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1043406358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 BALTIMORE ANNAPOLIS BLVD",
            "address_2": "SUITE 111",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "21146",
            "telephone_number": "410-384-9129",
            "fax_number": "410-384-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 HAZELWOOD AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152172972",
            "telephone_number": "412-414-1988",
            "fax_number": "412-924-4079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "645 Baltimore Annapolis Blvd",
            "address_2": "Suite 111",
            "address_purpose": "LOCATION",
            "city": "Severna Park",
            "state": "MD",
            "postal_code": "211463931",
            "country_code": "US",
            "telephone_number": "410-384-9129",
            "fax_number": "410-384-9725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNAH",
        "first_name": "LORI",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "PT, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "22253",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT019288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.