Caitlin Anne Kennelly, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

016476 Issued in OH

Practice address

880 Kinnear Rd
Columbus, OH 43212-1443

Phone

(614) 285-7757

NPI assigned

Jul 15, 2021

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1205408580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 BONNIE RIDGE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432283704",
            "telephone_number": "614-285-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 KINNEAR RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432121443",
            "telephone_number": "614-285-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNELLY",
        "first_name": "CAITLIN",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "016476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "016476",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacie R Kennedy, BSW
• Susan D. Kennedy, MS, NCC, LPC
• Toccara Kennedy
• Willow Kennedy
• Julie Kennel, PHD, RD, LD
• Julie Kennerly, PHARMD
• Sarah Ann E Kenneson, MD
• Kenneth L Abram
• Kenneth W R Baker, M.D.
• Brian D Kenney, M.D.

• Orthopedic Physical Therapist in Columbus, OH
• Providers in Columbus, OH by specialty
• Orthopedic Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.