Individual provider Active NPI

Kenneth Andre Barnett, DPT

  • Physical Therapist
  • Bonita Springs, FL
National Provider Identifier
1235731001
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT42877 Issued in FL
Practice address
25241 Elementary Way Ste 200
Bonita Springs, FL 34135-7883
Phone
(239) 947-4184
Fax
(239) 947-4171
NPI assigned
Nov 16, 2020
Last updated
Jun 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 70025190 IL
Physical Therapist 225100000X P23388 NC
Physical Therapist 225100000X PT42877 FL Primary

Addresses

Primary practice location

25241 Elementary Way Ste 200
Bonita Springs, FL 34135-7883

Mailing address

25241 Elementary Way Ste 200
Bonita Springs, FL 34135-7883
Phone (239) 947-4184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, AZ, NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20201217000440 IL Practitioner - Physical Therapist in Private Practice 5597177444 Reassigns benefits to 1 organization
I20231228003796 AZ Practitioner - Physical Therapist in Private Practice 5597177444 Reassigns benefits to 1 organization
I20241030002327 NC Practitioner - Physical Therapist in Private Practice 5597177444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rci (WRS) LLCGroup PAC ID 5092624510, 325 clinicians

Practice addresses (Care Compare)

1725 W Harrison St
Suite 440
Chicago, IL 60612-3836
Phone (312) 563-2454

2569 W Fullerton Ave
Chicago, IL 60647-3147
Phone (773) 252-4921

826 W Touhy Ave
Park Ridge, IL 60068-3352
Phone (847) 720-4165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT42877FLMDPhysical Therapist
70025190ILMDPhysical Therapist
P23388NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Hospital System, Inc CurrentSince Aug 28, 2024 Accepting new patients
Rci (WRS) Inc. CurrentSince Dec 1, 2020 Accepting new patients
Rci (WRS), LLC. Physical Therapist Current Accepting new patients
BHSM Rehabilitation, LLC Current Accepting new patients
Rci (WRS), LLC CurrentSince Dec 1, 2020 Accepting new patients
Fyzbiz, LLC Physical Therapist CurrentSince Mar 1, 2025 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Cumberland County Hospital System Inc CurrentSince Aug 28, 2024 Accepting new patients
Douglass Orthopedic & Spine Rehabilitation, Inc. Physical Therapist CurrentSince Mar 11, 2025 Accepting new patients

Locations

3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404

2800 E Ajo Way
Ste 201
Tucson, AZ 85713
Phone (520) 462-0248

25241 Elementary Way
Ste 200
Bonita Springs, FL 34135
Phone (239) 947-4184

10676 Colonial Blvd
Ste 50
Fort Myers, FL 33913
Phone (239) 465-4880

1725 W Harrison St
Ste 440
Chicago, IL 60612
Phone (312) 563-2454

9000 W College Pkwy
Palos Hills, IL 60465
Phone (618) 529-3201

826 W Touhy Ave
Park Ridge, IL 60068
Phone (847) 720-4165

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

1991 Fordham Dr
Ste 102
Fayetteville, NC 28304
Phone (910) 484-4653

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1235731001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25241 ELEMENTARY WAY STE 200",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341357883",
            "telephone_number": "239-947-4184",
            "fax_number": "239-947-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25241 ELEMENTARY WAY STE 200",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341357883",
            "telephone_number": "239-947-4184",
            "fax_number": "239-947-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNETT",
        "first_name": "KENNETH",
        "middle_name": "ANDRE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-16",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "70025190",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23388",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT42877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.