Susan E Kenney, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

003246 Issued in CT

Practice address

11 Woodland Road
Madison, CT 06443

Phone

(203) 245-1881

Fax

(203) 421-8388

NPI assigned

Jan 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Susan Orts Former name

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Physical Therapy and Wellness Treatment Center, LLC

  • Physical Therapist
  • Madison, CT
  • NPI 1003961822
  Medicare reassignment NPD Authorized official
• Cross Therapy, LLC

  • Physical Therapist
  • Guilford, CT
  • NPI 1376574392
  NPD (past)
• Physical Therapy Center of Madison

  dba Therapeutic Centre

  • Physical Therapist
  • Madison, CT
  • NPI 1609970201
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104976919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CANDLEWOOD LANE",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "06443",
            "telephone_number": "203-530-1153",
            "fax_number": "203-421-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WOODLAND ROAD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "06443",
            "telephone_number": "203-245-1881",
            "fax_number": "203-421-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEY",
        "first_name": "SUSAN",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "003246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4346656",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHONET",
            "identifier": "0217701",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P804449",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "ORTS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura Jean Kasprow, LCSW
• KC Chiropractic
• Maryann Keating
• Mary Claire Keenan
• Susanne Kennedy
• Kornelia Keszler, MD
• Julia King, PSY.D., MBA
• Marilyn Kirk, NBC-HWC
• Alyssa Kizilski
• Alexander Klein

• Physical Therapist in Madison, CT
• Providers in Madison, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.