Individual provider Active NPI

Annie Elizabeth Kennedy, DPT

  • Physical Therapist
  • Warrior, AL
National Provider Identifier
1427704378
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH10741 Issued in AL
Practice address
1387 State Highway 160
Warrior, AL 35180-4437
Phone
(205) 647-6849
NPI assigned
Mar 1, 2022
Last updated
Mar 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH10741 AL Primary

Addresses

Primary practice location

1387 State Highway 160
Warrior, AL 35180-4437

Mailing address

251 Johnston St SE Ste 200
Decatur, AL 35601-2515
Phone (256) 350-1764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220411002436 AL Practitioner - Physical Therapist in Private Practice 8628464062 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings of Alabama LLCGroup PAC ID 2769756436, 66 clinicians

Practice addresses (Care Compare)

1877 Cherokee Ave SW
Culman, AL 35055-5547
Phone (256) 727-1701

550 Fieldstown Rd
Gardendale, AL 35071-2590
Phone (205) 418-1482

Merit-based Incentive Payment System (MIPS)

Final score
86.04 of 100Reported as group
Quality
90
Improvement activities
40
Cost
71.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Encore Rehabilitation, Inc Physical Therapist CurrentSince Mar 1, 2022 Accepting new patients
Ati Holdings of Alabama, LLC Physical Therapist CurrentSince Nov 1, 2023 Accepting new patients
Encore Rehabilitation, Inc. Physical Therapist CurrentSince Mar 1, 2022 Accepting new patients

Locations

1301 Bridge Creek Dr NE
#A
Cullman, AL 35055
Phone (256) 841-3105

1877 Cherokee Ave SW
Cullman, AL 35055
Phone (256) 727-1701

811 2nd Ave SW
Ste G
Cullman, AL 35055
Phone (256) 775-3737

251 Johnston St SE
Ste 300
Decatur, AL 35601
Phone (256) 340-9708

323 Fieldstown Rd
Ste 105
Gardendale, AL 35071
Phone (205) 607-3217

550 Fieldstown Rd
Gardendale, AL 35071
Phone (205) 418-1482

76359 AL Highway 77
Lincoln, AL 35096
Phone (205) 518-8555

124 W Grand Ave
Ste A4
Rainbow City, AL 35906
Phone (256) 295-9048

1387 State Highway 160
Warrior, AL 35180
Phone (205) 647-6849

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1427704378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 JOHNSTON ST SE STE 200",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356012515",
            "telephone_number": "256-350-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1387 STATE HIGHWAY 160",
            "city": "WARRIOR",
            "state": "AL",
            "postal_code": "351804437",
            "telephone_number": "205-647-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "ANNIE",
        "middle_name": "ELIZABETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH10741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrior, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.