Kaitlyn Elisabeth Kennedy, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

3435 Livernois Rd
Troy, MI 48083-5063

Phone

(248) 353-1234

Fax

(248) 353-1211

NPI assigned

Jan 2, 2019

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

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Parc Rehabilitation, LLCGroup PAC ID 4082012984, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Parc Rehabilitation, LLC

  • Occupational Therapist
  • Farmington Hills, MI
  • NPI 1083380729

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Silver Pine Medical Group PLC

  • Family Medicine Physician
  • Sterling Heights, MI
  • NPI 1639105695
  Medicare reassignment NPD
• Auto & Work Comp Rehab LLC

  • Physical Therapy Clinic/Center
  • Southfield, MI
  • NPI 1750618898
  NPD (past)
• Joseph Advanced Facial Plastic Surgery, PLLC

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Troy, MI
  • NPI 1154082428
  NPD (past)

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1356813372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54398 RIDGEVIEW DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483161307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 LIVERNOIS RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835063",
            "telephone_number": "248-353-1234",
            "fax_number": "248-353-1211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 Investment Dr Ste 190",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480986365",
            "country_code": "US",
            "telephone_number": "248-353-1234",
            "fax_number": "248-353-1211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "KAITLYN",
        "middle_name": "ELISABETH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlene Kemp
• Zeinab Kenaan, PA
• Amanda Kendrick, NP
• Kristin Michelle Kennaugh, RN, BSN
• Jessica Frances Kennedy, FNP
• Kenneth W. Shaheen, M.D.,P.C.
• David M Kent, D.O.
• Gina Katherine Kent, MA LPC
• Karoline Kenville, BCBA
• Marissa Carr Kenyon, PA-C

• Physical Therapist in Troy, MI
• Providers in Troy, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; 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.