Active NPI
Richard Kenney, DPT
- Physical Therapist
- Plymouth, MA
National Provider Identifier
1144504267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 19612
- Practice address
- 45 Resnik Rd
Ste 104a
Plymouth, MA 02360-4844 - Phone
- (508) 747-6600
- Fax
- (508) 747-6606
- NPI assigned
- Oct 7, 2011
- 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 | 19612 | MA | Primary |
Addresses
Primary practice location
45 Resnik Rd
Ste 104a
Plymouth, MA 02360-4844
Mailing address
110 Haverhill Rd
Ste 524
Amesbury, MA 01913-2123
Phone (978) 388-7272
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19612 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lisa M. Crago-Adams | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403222400000",
"number": "1144504267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 HAVERHILL RD",
"address_2": "STE 524",
"city": "AMESBURY",
"state": "MA",
"postal_code": "019132123",
"telephone_number": "978-388-7272",
"fax_number": "978-388-7373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 RESNIK RD",
"address_2": "STE 104A",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023604844",
"telephone_number": "508-747-6600",
"fax_number": "508-747-6606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEY",
"first_name": "RICHARD",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-07",
"last_updated": "2014-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "19612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.