Active NPI
Richard P Kennedy, PTSCS
- Physical Therapist
- Braintree, MA
National Provider Identifier
1104045947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4685
- Practice address
- 25 Braintree Hill Office Park
Braintree, MA 02184-8702 - Phone
- (781) 848-7300
- Fax
- (781) 848-5678
- NPI assigned
- Apr 24, 2007
- Sex
- Male
- 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 | 4685 | MA | Primary |
Addresses
Primary practice location
25 Braintree Hill Office Park
Braintree, MA 02184-8702
Mailing address
25 Braintree Hill Office Park
Kennedy Brothers Physical Therapy
Braintree, MA 02184-8702
Phone (781) 848-7300
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kennedy Brothers Physical Therapy Inc. | Physical Therapist | 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.
-
- Physical Therapist
- Watertown, MA
- NPI 1811063803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443571200000",
"number": "1104045947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 BRAINTREE HILL OFFICE PARK",
"address_2": "KENNEDY BROTHERS PHYSICAL THERAPY",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "021848702",
"telephone_number": "781-848-7300",
"fax_number": "781-848-5678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 BRAINTREE HILL OFFICE PARK",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "021848702",
"telephone_number": "781-848-7300",
"fax_number": "781-848-5678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "RICHARD",
"middle_name": "P",
"credential": "PTSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2015-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "4685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Braintree, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.