Andrew Kenas

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

P16460 Issued in NC

Practice address

5046 Old Pineville Rd Ste 190
Charlotte, NC 28217-3035

Phone

(704) 848-6466

NPI assigned

Oct 20, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• The Charlotte Athlete LLC

  • Physical Therapy Clinic/Center
  • Charlotte, NC
  • NPI 1700386810
  NPD Authorized official

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1124579685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 W BLAND ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034104",
            "telephone_number": "215-380-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5046 OLD PINEVILLE RD STE 190",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282173035",
            "telephone_number": "704-848-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENAS",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-20",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NC",
            "license": "P16460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayat Kemal
• Amy Gunn Kemmerlin, NP
• Kristen Kemp, BSN, RN
• Reginald Benjamin Kemp
• Laurence Byron Kempton, MD
• Carolyn B. Kendall, CRNA
• Emily Kendall, PA-C
• James Eugene Kendall Sr., DDS
• Michael William Kendall, MD
• Stephen Kendall

• Sports Physical Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Sports Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.