Individual provider Active NPI

Kennedy Spencer, DPT

  • Orthopedic Physical Therapist
  • King of Prussia, PA
National Provider Identifier
1295599231
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
032088 Issued in PA
Practice address
357 S Gulph Rd Ste 310
King of Prussia, PA 19406-3687
Phone
(610) 265-2230
NPI assigned
Feb 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 032088 PA Primary

Addresses

Primary practice location

357 S Gulph Rd Ste 310
King of Prussia, PA 19406-3687

Mailing address

357 S Gulph Rd Ste 310
King of Prussia, PA 19406-3687
Phone (610) 265-2230

Other practice location 1

940 E Haverford Rd Ste 200
Bryn Mawr, PA 19010-3845
Phone (610) 527-0178

Other practice location 2

855 Springdale Dr Ste 110
Exton, PA 19341-2858
Phone (484) 874-2130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
032088PAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Patch Technique PLLC CurrentSince Feb 6, 2024 Accepting new patients
Strive Physical Therapy Specialists LLC Orthopedic Past Accepting new patients
Strive Physical Therapy and Sports Rehabilitation, LLC Past Accepting new patients

Locations

357 S Gulph Rd
Ste 310
Kng of Prussa, PA 19406
Phone (610) 265-2230

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1295599231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 S GULPH RD STE 310",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063687",
            "telephone_number": "610-265-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 S GULPH RD STE 310",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063687",
            "telephone_number": "610-265-2230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 E Haverford Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Bryn Mawr",
            "state": "PA",
            "postal_code": "190103845",
            "country_code": "US",
            "telephone_number": "610-527-0178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "855 Springdale Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Exton",
            "state": "PA",
            "postal_code": "193412858",
            "country_code": "US",
            "telephone_number": "484-874-2130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "KENNEDY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "032088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.