Individual provider Active NPI

David Matthew Kendall, PT, DPT

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1194263210
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0014590 Issued in CO
Practice address
1263 Lake Plaza Dr
Suite 210B
Colorado Springs, CO 80906-3564
Phone
(719) 776-3388
NPI assigned
Feb 9, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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 0014590 CO Primary

Addresses

Primary practice location

1263 Lake Plaza Dr
Suite 210B
Colorado Springs, CO 80906-3564

Mailing address

1263 Lake Plaza Dr
Ste 210a
Colorado Springs, CO 80906-3511
Phone (719) 776-3360

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

LicenseStateTypeSpecialty
0014590COMDPhysical Therapist

Interoperability endpoints

  • Direct secure messaging: david.kendall.1@4082.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1194263210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1263 LAKE PLAZA DR",
            "address_2": "STE 210A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063511",
            "telephone_number": "719-776-3360",
            "fax_number": "719-776-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1263 LAKE PLAZA DR",
            "address_2": "SUITE 210B",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063564",
            "telephone_number": "719-776-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDALL",
        "first_name": "DAVID",
        "middle_name": "MATTHEW",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0014590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.