Elizabeth T Kennedy, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PTH4942 Issued in AL

Practice address

1504 Spring Hill Ave
Suite 1600
Mobile, AL 36604-3207

Phone

(251) 434-3915

Fax

(251) 434-3802

NPI assigned

Apr 20, 2012

Last updated

Apr 20, 2012By the provider in NPPES

Sex

Female

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

State licenses

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334880000000",
    "number": "1336406818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40480",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366400480",
            "telephone_number": "251-470-5842",
            "fax_number": "251-470-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 SPRING HILL AVE",
            "address_2": "SUITE 1600",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366043207",
            "telephone_number": "251-434-3915",
            "fax_number": "251-434-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "ELIZABETH",
        "middle_name": "T",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-20",
        "last_updated": "2012-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "AL",
            "license": "PTH4942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenan Home Care LLC
• Ahmund R Kenan
• Todd J Kendall, MD
• Bertha Lafaye Kennedy
• Celestine Carrie Kennedy
• Lawana D Kennedy, LIC. PROF. COUNSELOR
• Patsy A. Kennedy, CRNP
• Quinn E Kennedy, DC
• Ruth Kennedy, CRNP
• Timothy Kennedy

• Pediatric Physical Therapist in Mobile, AL
• Providers in Mobile, AL by specialty
• Pediatric Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; 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.