Sarah Marie Kennedy, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

2067489 Issued in TX

Practice address

6080 Southwest Blvd
Benbrook, TX 76109

Phone

(817) 731-9331

Fax

(817) 731-9882

NPI assigned

Sep 19, 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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cooper & Bush Physical Therapy LLC

  • Physical Therapist
  • Benbrook, TX
  • NPI 1841220068
  NPD (past)
• Ideal Physical Therapy of Texas LLC

  • Durable Medical Equipment & Medical Supplies
  • Murphy, TX
  • NPI 1902773161
  NPD (past)

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222041600000",
    "number": "1326298985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 SOUTHWEST BLVD",
            "address_2": "COOPER & BUSH PHYSICAL THERAPY",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "76109",
            "telephone_number": "817-731-9331",
            "fax_number": "817-731-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 SOUTHWEST BLVD",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "76109",
            "telephone_number": "817-731-9331",
            "fax_number": "817-731-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "SARAH",
        "middle_name": "MARIE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-19",
        "last_updated": "2008-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "2067489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE",
            "identifier": "2067489",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deanna Keane
• Jeremiah Keith, BCBA
• Nancy Keller
• Amanda Kennedy, LCSW
• Karen Kennedy, MS/CCC-SLP
• Nida Khowaja
• Brinley Kilpatrick
• Emily R Kimera
• Molly Michelle King, BSN, RN, IBCLC
• Knight Dental PLLC

• Physical Medicine & Rehabilitation Physician in Benbrook, TX
• Providers in Benbrook, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; 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.