Bailee Kennedy, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P19137 Issued in NC

Practice address

9020 Senca Dr Ste 220
Wilmington, NC 28411-6680

Phone

(910) 264-9317

NPI assigned

Oct 22, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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.

• Eastern Therapy Solutions, PLLC

  • Occupational Therapist
  • Wilmington, NC
  • NPI 1073143343

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1194129965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 CORNEL LN",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284437230",
            "telephone_number": "423-202-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9020 SENCA DR STE 220",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284116680",
            "telephone_number": "910-264-9317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "990 Ribaut Rd",
            "address_purpose": "LOCATION",
            "city": "Beaufort",
            "state": "SC",
            "postal_code": "299028011",
            "country_code": "US",
            "telephone_number": "843-522-5593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "BAILEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-22",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "7166",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P19137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Kemlage, M.ED LCMHC
• Shellie Marie Kendall, M.D.
• Daphne Kendricks, PH.D.
• Kennedy Companion Care
• Kennedy Companion Care LLC
• Breeana Cain Kennedy, LCMHC
• Kaelin Elizabeth Kennedy, LCSWA
• Katelyn Gerri Kennedy, DO
• Leeann Wilcox Kennedy, LPC
• Lisa Quick Kennedy

• Physical Therapist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.