Tamara J Kennedy, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT24126 Issued in FL

Practice address

6613 49TH St
Pinellas Park, FL 33781-5728

Phone

(727) 527-2100

Fax

(727) 521-3710

NPI assigned

Jun 8, 2006

Last updated

Sep 29, 2008By the provider in NPPES

Sex

Female

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

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.

• Excel Rehabilitation, PLLC

  • Specialist
  • Fairfax, VA
  • NPI 1922091032
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222646400000",
    "number": "1447290101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 W WATROUS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336294229",
            "telephone_number": "813-288-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6613 49TH ST",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337815728",
            "telephone_number": "727-527-2100",
            "fax_number": "727-521-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "TAMARA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2008-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "2305204444",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "PT24126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KCC Health Care
• Christan Williams Kelley
• Kimberly Kelley, PHARM D
• Anita Marie Kelly, LMHC, CAP
• Sarah Kathleen Kelly, D.C.
• Michelle Ketcher, OD
• Chloe Ketchum
• Jane E Kienle, MD
• Thomas E Kiernan, ARNP
• Kim B. Powers, D.O., P.a.

• Specialist in Pinellas Park, FL
• Providers in Pinellas Park, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.