Kathleen Jane Hennessy, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT22256 Issued in FL

Practice address

21514 Cormorant Cove Dr
Land O Lakes, FL 34637-7523

Phone

(813) 482-5765

NPI assigned

Sep 24, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Kathleen Jane Carlough Former name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Myofascial Release and Women'S Health LLC

  • Physical Therapist
  • Lutz, FL
  • NPI 1669212239
  Medicare reassignment NPD Authorized official
• Patient Connect Healthcare Clinic LLC

  • Clinic/Center
  • St Petersburg, FL
  • NPI 1104106525
  NPD (past)

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222214400000",
    "number": "1285884551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21514 CORMORANT COVE DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346377523",
            "telephone_number": "813-995-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21514 CORMORANT COVE DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346377523",
            "telephone_number": "813-482-5765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNESSY",
        "first_name": "KATHLEEN",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT22256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "CARLOUGH",
            "middle_name": "JANE",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Healthstat Wellness Pasco Lol Dispensing
• Linda S Hedstrom, LCSW
• Carrie Heinz, RPH
• Helping Hands Assisted Health Care
• Helping Hands of Land O Lakes
• Robyn Hennessy
• Nicholas Eugene Hercules, MS CAP
• Elena Hernandez
• Matthew Justin Hernandez, D.O.
• C Michael Hicks, LCSW, MPH

• Physical Therapist in Land O Lakes, FL
• Providers in Land O Lakes, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.