Kendall Denarie, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT021736 Issued in PA

Practice address

28 E Ridge Pike # a-3
Conshohocken, PA 19428-2117

Phone

(484) 533-2692

Fax

(610) 941-4729

NPI assigned

Sep 27, 2011

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 names 1

• Kendall Lytwynec Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495152000000",
    "number": "1265715155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 E RIDGE PIKE # A-3",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282117",
            "telephone_number": "484-533-2692",
            "fax_number": "610-941-4729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENARIE",
        "first_name": "KENDALL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-27",
        "last_updated": "2017-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT021736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDALL",
            "last_name": "LYTWYNEC",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jory Davis
• Davita Medical Group Philadelphia, LLC
• Zacahry Decarlo Jr., D.C
• Nicholas Joseph Delaney, DO
• Nicole Delgado
• Erin A. Devault, M.S., CCC-SLP
• Luk Devorski, PHD, ATC
• William Edward Dewart, PH.D., CFC
• Gabriel Jose Diaz Cruz
• Matthew Thomas Digiandomenico, MA, LPC

• Physical Therapist in Conshohocken, PA
• Providers in Conshohocken, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.