Active NPI
Langston T Kennedy, DPT, PT
- Physical Therapist
- Columbia, SC
National Provider Identifier
1386236032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13279
- Practice address
- 1910 Blanding St
Columbia, SC 29201-3520 - Phone
- (803) 256-4107
- NPI assigned
- Feb 4, 2021
- Sex
- Male
- 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 | 13279 | SC | Primary |
Addresses
Primary practice location
1910 Blanding St
Columbia, SC 29201-3520
Mailing address
1714 Canterbury Rd
Raleigh, NC 27608-1110
Phone (919) 213-0504
Other practice location 1
2700 Reidville Rd
Spartanburg, SC 29301-3543
Phone (919) 213-0504
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1714 Canterbury Rd
Raleigh, NC 27608-1110
2211 Boney Rd
Blythewood, SC 29016-8016
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13279 | SC | MD | Physical Therapist |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772150400000",
"number": "1386236032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1714 CANTERBURY RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276081110",
"telephone_number": "919-213-0504",
"fax_number": "919-981-9213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 BLANDING ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292013520",
"telephone_number": "803-256-4107"
}
],
"practiceLocations": [
{
"address_1": "2700 Reidville Rd",
"address_purpose": "LOCATION",
"city": "Spartanburg",
"state": "SC",
"postal_code": "293013543",
"country_code": "US",
"telephone_number": "919-213-0504",
"fax_number": "919-981-9213",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENNEDY",
"first_name": "LANGSTON",
"middle_name": "T",
"credential": "DPT, PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-04",
"last_updated": "2026-02-27",
"certification_date": "2026-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "13279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; 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.