Brenda L Kennedy, P.T.
Individual provider Active NPI Contractor · Butler, AL
NPI 1275639403 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1275639403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- PTH2262 (AL)
- Practice address
- 1951 Riderwood Dr
Butler, AL 36904-3564 - Phone
- (205) 459-7655
- Fax
- (205) 459-7128
- NPI assigned
- Sep 15, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Encore Rehabilitation, Inc. | Past | Accepting new patients | |
| Encore Rehabilitation, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | PTH2262 | AL | Yes |
Addresses
Primary practice location
1951 Riderwood Dr
Butler, AL 36904-3564
Mailing address
1951 Riderwood Dr
Butler, AL 36904-3564
Phone (205) 459-7655
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PTH2262 | Other | AL | PHYSICAL THERAPIST |
Other providers in Butler, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.