Marian Kathleen Kennedy, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1532 Issued in CT

Practice address

10 Oakledge Dr
Ivoryton, CT 06442-1143

Phone

(860) 767-2089

NPI assigned

Jul 21, 2006

Sex

Female

Sole proprietor

Yes

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.

• Valley Physical Therapy & Sports Medicine Services, P.C.

  • Physical Therapist
  • Marlborough, CT
  • NPI 1841381969
  NPD (past)
• Valley Physical Therapy, LLC

  • Specialist
  • Marlborough, CT
  • NPI 1841525904
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194745927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 OAKLEDGE DR",
            "city": "IVORYTON",
            "state": "CT",
            "postal_code": "064421143",
            "telephone_number": "860-767-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 OAKLEDGE DR",
            "city": "IVORYTON",
            "state": "CT",
            "postal_code": "064421143",
            "telephone_number": "860-767-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "MARIAN",
        "middle_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "1532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lois Ann Caliri
• Joanne Baker Deal, LPC
• Margaret Lousie Fagan, LMT
• Deborah Jane Hunsicker I
• Diana Ellen Johnson, APRN
• Heidi Kunzli, MS, LADC
• Renee Lacourciere, CLINICAL DOCTOR/SLP
• Katherine Lee Lempicki, COTA
• Diane O'Brien
• Prive-Swiss Inc

• All providers in Ivoryton, CT
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.