Bradley Kennedy, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8479 Issued in SC

Practice address

1510 Ribaut Rd
Port Royal, SC 29935-1403

Phone

(843) 524-3241

Fax

(843) 322-3240

NPI assigned

Aug 28, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Benchmark Health Services

  • Physical Therapist
  • Easley, SC
  • NPI 1457842643
  NPD
• Benchmark Healthcare Services

  • Physical Therapist
  • Greenville, SC
  • NPI 1891249827
  NPD
• Novant Health Physical Therapy LLC

  • Physical Therapist
  • Port Royal, SC
  • NPI 1376379818
  NPD
• Novant Health Urgent Cares LLC

  • Urgent Care Clinic/Center
  • Anderson, SC
  • NPI 1841026382
  NPD
• Benchmark Healthcare Services, LLC

  • Physical Therapist
  • Ooltewah, TN
  • NPI 1811213341
  NPD

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730592000000",
    "number": "1356741136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749306",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749306",
            "telephone_number": "843-524-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 RIBAUT RD",
            "city": "PORT ROYAL",
            "state": "SC",
            "postal_code": "299351403",
            "telephone_number": "843-524-3241",
            "fax_number": "843-322-3240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Crow Ln",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "29577",
            "country_code": "US",
            "telephone_number": "843-848-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Starbrush Cir",
            "address_2": "SUITE 201",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "704337246",
            "country_code": "US",
            "telephone_number": "985-259-7774",
            "fax_number": "985-259-7775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "BRADLEY",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-28",
        "last_updated": "2024-11-03",
        "certification_date": "2024-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "08945R",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "8479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael K Johnson
• Kathryn Mitchell Jones, FNP
• Laura B Kaiser, PA-C
• Anna Jean Keating, FNP-BC
• Charmaine Marie Kelly, PA-C
• Denise Kerby, CNP
• Kelsey Knight
• Kelley M Knoebel, OTR/L, MS
• Demetrajane Kokinakis, DO
• Leah Carter Lafountain, NP

• Physical Therapist in Port Royal, SC
• Providers in Port Royal, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2024; 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.