Katherine Elizabeth Kennedy, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040966-1 Issued in NY

Practice address

5010 State Highway 30
Suite 101
Amsterdam, NY 12010-7532

Phone

(518) 212-6291

NPI assigned

Mar 14, 2017

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

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colorado Luna Care Physical Therapy LLCGroup PAC ID 7517363617, 210 clinicians

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.

• Colorado Luna Care Physical Therapy LLC

  • Physical Therapist
  • Denver, CO
  • NPI 1891461125
  Medicare reassignment Care Compare group NPD
• Ferrington Physical Therapy, LLC

  dba Ability Physical Therapy, LLC

  • Physical Therapist
  • Lafayette, CO
  • NPI 1124375779
  Medicare reassignment NPD
• Intermountain Medical Group Denver, LLC

  • Family Medicine Physician
  • Denver, CO
  • NPI 1083021083
  Medicare reassignment NPD
• Intermountain Medical Group Denver, LLC

  dba Orthopedic Centers of Colorado - Saint Joseph

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Denver, CO
  • NPI 1083598874
  NPD
• Intermountain Medical Group Denver, LLC

  dba Intermountain Health Heart & Vascular - Wheat Ridge Clinic

  • Cardiovascular Disease Physician
  • Wheat Ridge, CO
  • NPI 1437768124
  NPD

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1184165870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 LUPINE DR",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "120206343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 STATE HIGHWAY 30",
            "address_2": "SUITE 101",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107532",
            "telephone_number": "518-212-6291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "KATHERINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040966-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Marie Kadyszewski, LCSW
• Gustav E Kappler III, MD
• Kayla Duesler Mental Health Counseling PLLC
• Kayla Duesler Mental Health Counseling, PLLC
• Colleen Kearney, PMHNP
• Mahmood A Khan, M.D., M.B.B.S,
• King Mental Health Counseling, PLLC
• Stephanie Lee Kinney, LMSW
• Kathleen Kissinger, FNP
• Theresa Intilli Klausner, MS, APRN, BC, FNP

• Physical Therapist in Amsterdam, NY
• Providers in Amsterdam, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.