Renee Nicole Kennedy, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT41042 Issued in FL

Practice address

2316 S Fiske Blvd Unit Ab
Rockledge, FL 32955-3403

Phone

(321) 632-0081

NPI assigned

Nov 15, 2023

Sex

Female

Sole proprietor

Yes

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 FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (2 of 3)

Locations

Networks

• Freedom Health HMO Network

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.

• Gold Coast Physical Therapy Associates LLC

  • Physical Therapy Clinic/Center
  • Lake Worth, FL
  • NPI 1114026523

  Physical Therapist

  NPD
• Cora Health Services Inc

  • Rehabilitation Clinic/Center
  • Rockledge, FL
  • NPI 1336172535
  NPD (past)

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1093580573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5840 CORPORATE WAY STE 101",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072040",
            "telephone_number": "561-432-0111",
            "fax_number": "561-432-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 S FISKE BLVD UNIT AB",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553403",
            "telephone_number": "321-632-0081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7431 Atlantic Ave Ste 52",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334463506",
            "country_code": "US",
            "telephone_number": "561-432-0111",
            "fax_number": "561-432-1075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "RENEE",
        "middle_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-15",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT41042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brookelynn K Kendrick, NP-C
• Christian Adam Kendrick, ARNP
• Colin Frank Kennedy, PA-C
• Jillian Kennedy
• John C Kennedy, M.D.
• Kenneth W Korey MD PA
• Elizabeth M Kent, PHARMD
• Madison Kenworthy
• Amanda Grace Kenyon, OTA
• Daniel Paul Kenyon, CRNFA

• Physical Therapist in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.