Ann Kenney, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

AT10146 Issued in CA

Practice address

746 S Main Ave Ste D
Fallbrook, CA 92028-3352

Phone

(760) 728-8999

Fax

(760) 728-0821

NPI assigned

Mar 24, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Fallbrook Spine Center

  • Orthopedic Chiropractor
  • Fallbrook, CA
  • NPI 1881014157
  NPD (past)

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1043672322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 S MAIN AVE STE D",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283352",
            "telephone_number": "760-728-8999",
            "fax_number": "760-728-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 S MAIN AVE STE D",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283352",
            "telephone_number": "760-728-8999",
            "fax_number": "760-728-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEY",
        "first_name": "ANN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT10146",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "7158090108",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "18340",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JW Durable Mecical Equipment
• Kaleena Prate Licensed Marriage & Family Therapist, Inc.
• Kaley Brown Surgical PA
• Robert Nicolas Keenan, M.D.
• Margaret Mary Kennedy, CNM
• Shamaela Kidwai Zaidi
• Pamela Karen Kirschke, OTR/L
• Riley Knaack
• Kneading Relaxation, LLC
• Joslynn Knox

• Physical Therapy Assistant in Fallbrook, CA
• Providers in Fallbrook, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.