Individual provider Active NPI

Karina Kennedy, PT, DPT

  • Physical Therapist
  • Oakbrook Terrace, IL
National Provider Identifier
1184053019
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070020333 Issued in IL
Practice address
1 Trans Am Plaza Drive
Oakbrook Terrace, IL 60181-4822
Phone
(630) 627-7500
NPI assigned
Nov 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070020333 IL Primary

Addresses

Primary practice location

1 Trans Am Plaza Drive
Oakbrook Terrace, IL 60181-4822

Mailing address

8340 W 103Rd St
Palos Hills, IL 60465-1838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161103000958 IL Practitioner - Physical Therapist in Private Practice 0941588487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
From Pain to Wellness, LLCGroup PAC ID 4486721396, 5 clinicians

Practice addresses (Care Compare)

1 Transam Plaza Dr
Suite 100
Oakbrook Terrace, IL 60181-4286
Phone (630) 627-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
From Pain to Wellness, LLC CurrentSince Oct 7, 2016 Accepting new patients
From Pain to Wellness, LLC CurrentSince Oct 7, 2016 Accepting new patients

Locations

1 Transam Plaza Dr
Oakbrook Terrace, IL 60181

1 Transam Plaza Dr
Ste 100
Oakbrook Terrace, IL 60181
Phone (630) 627-7500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JFGJCA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1184053019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 W 103RD ST",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604651838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TRANS AM PLAZA DRIVE",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814822",
            "telephone_number": "630-627-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "KARINA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-01",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070020333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakbrook Terrace, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.