Active NPI
Julianne Pratt Kenward, P.T.
- Physical Therapist
- Rochester, NY
National Provider Identifier
1053636746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 011648-1
- Practice address
- 989 Blossom Rd
Rochester, NY 14610-2251 - Phone
- (585) 482-3500
- NPI assigned
- Apr 6, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 011648-1 | NY | Primary |
Addresses
Primary practice location
989 Blossom Rd
Rochester, NY 14610-2251
Mailing address
2005 Sheridan Dr
Buffalo, NY 14223-1222
Phone (716) 541-9200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011648-1 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester Rehabilitation Center, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Rochester, NY
- NPI 1306901913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270512000000",
"number": "1053636746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2005 SHERIDAN DR",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142231222",
"telephone_number": "716-541-9200",
"fax_number": "716-299-2011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "989 BLOSSOM RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146102251",
"telephone_number": "585-482-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENWARD",
"first_name": "JULIANNE",
"middle_name": "PRATT",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-06",
"last_updated": "2010-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "011648-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.