Douglas John Kennedy

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2860 Issued in MA

Practice address

100 Ter Heun Dr
Falmouth Hospital
Falmouth, MA 02540

Phone

(508) 495-7600

Fax

(508) 495-7603

NPI assigned

May 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316158785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 TARA LN",
            "city": "NORTH FALMOUTH",
            "state": "MA",
            "postal_code": "02556",
            "telephone_number": "508-564-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TER HEUN DR",
            "address_2": "FALMOUTH HOSPITAL",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "02540",
            "telephone_number": "508-495-7600",
            "fax_number": "508-495-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "DOUGLAS",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MA",
            "license": "2860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Katsios
• Mary A. Katz, MA LPC LMHC CCBT NCC
• Jagdeep Kaur, DMD
• Ashley Kelley-Shaidani, PT, DPT
• Susan R Kelley, M.ED.
• Kenneth a. Heisler, M.D.P.C.
• Christina Youngsim Kim-Gagnon, DMD
• Kelly A Kirkbride
• Marylouise Klimm, LICSW
• James B Knox, MD

• Physical Therapy Assistant in Falmouth, MA
• Providers in Falmouth, MA by specialty
• Physical Therapy Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.