Active NPI
Anna Victoria Kennedy, PT
- Physical Therapist
- Daphne, AL
National Provider Identifier
1336867688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH10965
- Practice address
- 1505 Daphne Ave
Daphne, AL 36526-4298 - Phone
- (251) 625-2663
- Fax
- (251) 625-3198
- NPI assigned
- Aug 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | PTH10965 | AL | Primary |
Addresses
Primary practice location
1505 Daphne Ave
Daphne, AL 36526-4298
Mailing address
1505 Daphne Ave
Daphne, AL 36526-4298
Phone (251) 625-2663
Other practice location 1
10701 Eastern Shore Blvd
Spanish Fort, AL 36527-6042
Phone (251) 625-2663
Other practice location 2
1430 N McKenzie St
Foley, AL 36535-2234
Phone (251) 621-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baldwin Bone & Joint P C | Physical Therapy | Current | Accepting new patients |
| Baldwin Bone & Joint P C | Past | Accepting new patients | |
| Mobile Infirmary Association | Physical Therapy | Past | Accepting new patients |
Locations
1505 Daphne Ave
Daphne, AL 36526
Phone (251) 625-2663
10701 Eastern Shore Blvd
Spanish Fort, AL 36527
Phone (251) 625-2663
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.
-
- Orthopaedic Surgery Physician
- Spanish Fort, AL
- NPI 1316877764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782172800000",
"number": "1336867688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 DAPHNE AVE",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365264298",
"telephone_number": "251-625-2663",
"fax_number": "251-625-3198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 DAPHNE AVE",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365264298",
"telephone_number": "251-625-2663",
"fax_number": "251-625-3198"
}
],
"practiceLocations": [
{
"address_1": "10701 Eastern Shore Blvd",
"address_purpose": "LOCATION",
"city": "Spanish Fort",
"state": "AL",
"postal_code": "365276042",
"country_code": "US",
"telephone_number": "251-625-2663",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1430 N McKenzie St",
"address_purpose": "LOCATION",
"city": "Foley",
"state": "AL",
"postal_code": "365352234",
"country_code": "US",
"telephone_number": "251-621-4700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENNEDY",
"first_name": "ANNA",
"middle_name": "VICTORIA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-22",
"last_updated": "2026-06-23",
"certification_date": "2026-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH10965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daphne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.