Individual provider Active NPI

Matthew Lee Kenny, DPT

  • Physical Therapist
  • Kearney, NE
National Provider Identifier
1326374141
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2760 Issued in NE
Practice address
615 W 39TH St
Suite a
Kearney, NE 68845-8045
Phone
(308) 698-2820
Fax
(308) 698-2822
NPI assigned
Oct 29, 2009
Last updated
Oct 29, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2760 NE Primary

Addresses

Primary practice location

615 W 39TH St
Suite a
Kearney, NE 68845-8045

Mailing address

615 W 39TH St
Suite a
Kearney, NE 68845-8045
Phone (308) 698-2820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100429000075 NE Practitioner - Physical Therapist in Private Practice 3375670045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1046 N Webster St
Red Cloud, NE 68970-2130
Phone (308) 440-2887

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2760NEMDPain Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity Rehab LLC Physical Therapist CurrentSince Jun 1, 2022 Accepting new patients
Family Physical Therapy & Sports Center Physical Therapist Past Accepting new patients

Locations

1046 N Webster St
Red Cloud, NE 68970
Phone (308) 440-2887

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256774400000",
    "number": "1326374141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W 39TH ST",
            "address_2": "SUITE A",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688458045",
            "telephone_number": "308-698-2820",
            "fax_number": "308-698-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W 39TH ST",
            "address_2": "SUITE A",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688458045",
            "telephone_number": "308-698-2820",
            "fax_number": "308-698-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNY",
        "first_name": "MATTHEW",
        "middle_name": "LEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-29",
        "last_updated": "2009-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.