Individual provider Active NPI

Karin Kennedy, PT, ATC

  • Athletic Trainer
  • Bryn Mawr, PA
National Provider Identifier
1093878357
Registry record updated Nov 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
RT001383A Issued in PA
Practice address
480 S Bryn Mawr Ave
Country Day School of the Sacred Heart
Bryn Mawr, PA 19010-2101
Phone
(610) 527-3915
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X RT001383A PA Primary
Orthopedic Physical Therapist 2251X0800X DAPT001747 PA

Addresses

Primary practice location

480 S Bryn Mawr Ave
Country Day School of the Sacred Heart
Bryn Mawr, PA 19010-2101

Mailing address

480 S Bryn Mawr Ave
Country Day School of the Sacred Heart
Bryn Mawr, PA 19010-2101
Phone (610) 527-3915

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DAPT001747PAMDOrthopedic Physical Therapist
RT001383APAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414972800000",
    "number": "1093878357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 S BRYN MAWR AVE",
            "address_2": "COUNTRY DAY SCHOOL OF THE SACRED HEART",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102101",
            "telephone_number": "610-527-3915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 S BRYN MAWR AVE",
            "address_2": "COUNTRY DAY SCHOOL OF THE SACRED HEART",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102101",
            "telephone_number": "610-527-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "KARIN",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2014-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT001383A",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "DAPT001747",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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.