Individual provider Active NPI

Emma Kennedy, DPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1194394676
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
120 Nassau St Apt 9F
Brooklyn, NY 11201-1474
Phone
(518) 573-9174
NPI assigned
Jun 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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 Primary

Addresses

Primary practice location

120 Nassau St Apt 9F
Brooklyn, NY 11201-1474

Mailing address

120 Nassau St Apt 9F
Brooklyn, NY 11201-1474

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211201000862 NY Practitioner - Physical Therapist in Private Practice 0648660985 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
047865NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Fit Club Inc Physical Therapist CurrentSince Jan 10, 2025 Accepting new patients
Kellen Ryan Scantlebury Physical Therapy PLLC Physical Therapist CurrentSince Mar 11, 2025 Accepting new patients

Locations

203 Berry St
Brooklyn, NY 11249
Phone (646) 875-8348

153 W 27th St
Ste 1201
New York, NY 10001

153 W 27th St
Ste 1204
New York, NY 10001
Phone (646) 875-8348

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": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1194394676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 NASSAU ST APT 9F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 NASSAU ST APT 9F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011474",
            "telephone_number": "518-573-9174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "EMMA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.