Active NPI
Michael P. Kenney, PT
- Physical Therapist
- Watertown, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13182
- Practice address
- 485 Arsenal St
Watertown, MA 02472-5091 - Phone
- (617) 972-5288
- Fax
- (617) 972-5345
- NPI assigned
- Apr 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13182 | MA | Primary |
Addresses
Primary practice location
485 Arsenal St
Watertown, MA 02472-5091
Mailing address
485 Arsenal St
Watertown, MA 02472-5091
Phone (617) 972-5288
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 908025 | Other | MA | TUFTS HEALTH PLAN |
| Y68453 | Other | MA | BLUE CROSS |
| 0035679 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| HV0001 | Other | MA | HARVARD PILGRIM |
| B501027 | Other | MA | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
133 Brookline Ave
Boston, MA 02215-3904
Phone (617) 421-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atrius Health, Inc. | Current | Accepting new patients | |
| Atrius Health, Inc. | Physical Therapist | Current | Accepting new patients |
| Atrius Health, Inc. | Past | Accepting new patients |
Locations
147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051
133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000
111 Grossman Dr
Braintree, MA 02184
Phone (781) 849-1000
1611 Cambridge St
Cambridge, MA 02138
Phone (617) 661-5100
485 Arsenal St
Watertown, MA 02472
Phone (617) 972-5100
Interoperability endpoints
- mkenney15707@direct.atrius.masshiway.net
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.
-
dba Harvard Vanguard Medical Associates
- Internal Medicine Physician
- Boston, MA
- NPI 1740238526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1306800875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "485 ARSENAL ST",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024725091",
"telephone_number": "617-972-5288",
"fax_number": "617-972-5345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "485 ARSENAL ST",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024725091",
"telephone_number": "617-972-5288",
"fax_number": "617-972-5345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEY",
"first_name": "MICHAEL",
"middle_name": "P.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-13",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "13182",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "908025",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "Y68453",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0035679",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "HV0001",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "B501027",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.