Brian Daniel Kennedy, D.P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01633800 Issued in NJ

Practice address

492 Springfield Ave
Berkeley Heights, NJ 07922-1112

Phone

(908) 665-0770

Fax

(908) 665-0006

NPI assigned

Sep 10, 2015

Last updated

Sep 10, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Health & Fitness Professionals LLC

  • Sports Physical Therapist
  • Scotch Plains, NJ
  • NPI 1447628581
  Medicare reassignment NPD
• Mettle Physical Therapy

  • Physical Therapy Clinic/Center
  • Basking Ridge, NJ
  • NPI 1164012506

  Physical Therapist

  Medicare reassignment NPD
• Total Health Physical Medicine & Rehabilitation Center LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Florham Park, NJ
  • NPI 1679633671

  Physical Therapist

  Medicare reassignment NPD
• Twin Boro Physical Therapy Associates PA

  dba Twin Boro Physical Therapy

  • Physical Therapist
  • Clark, NJ
  • NPI 1811937527
  Medicare reassignment NPD
• Total Health Physical Medicine and Rehab Center

  dba Premier Sculpting Center of NJ

  • Acupuncturist
  • Montville, NJ
  • NPI 1215588090
  NPD
• Twin Boro Physical Therapy Associates, PA

  dba Twin Boro Physical Therapy

  • Occupational Therapist
  • Newark, NJ
  • NPI 1659874857
  NPD

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1073981809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "492 SPRINGFIELD AVE",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079221112",
            "telephone_number": "908-665-0770",
            "fax_number": "908-665-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "492 SPRINGFIELD AVE",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079221112",
            "telephone_number": "908-665-0770",
            "fax_number": "908-665-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "BRIAN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-10",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01633800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amrit Kaur, PHARMD, RPH
• Tami R Kavanaght-Shapiro, PA
• Merrin Keim
• Mary Kelly, APN
• Patricia Kelly, PT
• Kevin J Kennedy, MD
• Lauren M. Kennish, MD
• Allen M Khademi, M.D.
• Hilary Khademi, P.T.
• Monica B. Khalil, M.D.

• Physical Therapist in Berkeley Heights, NJ
• Providers in Berkeley Heights, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.