Active NPI
Victoria Williams Kenney, PT
- Physical Therapist
- Columbia, TN
National Provider Identifier
1346378098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 476
- Practice address
- 1224 Trotwood Ave.
Maury Regional Hospital
Columbia, TN 38401 - Phone
- (931) 381-1111
- Fax
- (931) 540-4318
- NPI assigned
- Mar 2, 2007
- Sex
- Female
- Sole proprietor
- No
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 | PT 476 | TN | Primary |
Addresses
Primary practice location
1224 Trotwood Ave.
Maury Regional Hospital
Columbia, TN 38401
Mailing address
697 Still Pond Rd
Columbia, TN 38401-5554
Phone (931) 388-2473
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT 476 | Other | TN | PHYSICAL THERAPIST |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 476 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346378098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "697 STILL POND RD",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384015554",
"telephone_number": "931-388-2473",
"fax_number": "931-388-2473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1224 TROTWOOD AVE.",
"address_2": "MAURY REGIONAL HOSPITAL",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "38401",
"telephone_number": "931-381-1111",
"fax_number": "931-540-4318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEY",
"first_name": "VICTORIA",
"middle_name": "WILLIAMS",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "PT 476",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST",
"identifier": "PT 476",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, TN
Sources for this page
- 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.