Anthony Kadenzy, PTA
Individual provider Active NPI Physical Therapy Assistant · Fort Novosel, AL
NPI 1477064533 · NPPES record last updated Jun 10, 2025
Key facts
- NPI
- 1477064533
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA7622 (AL)
- Practice address
- Lyster Army Health Clinic
301 Andrews Ave
Fort Novosel, AL 36362-5333 - Phone
- (334) 255-7185
- NPI assigned
- Oct 17, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA7622 | AL | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA7622 | AL | Yes |
Addresses
Primary practice location
Lyster Army Health Clinic
301 Andrews Ave
Fort Novosel, AL 36362-5333
Mailing address
Lyster Army Health Clinic
Building 301, Andrews Avenue
Fort Rucker, AL 36362-5333
Phone (334) 255-7185
Other providers in Fort Novosel, AL
- Maria M. Craig
- Brandy Allison Dunn
- Maxwell Geoff Gunn
- Julie Harriss
- Brian Luis Jimenez
- Justin Kirkland
- Riley Jo Koldenhoven
- Nathan Hoi-King Kwan
- Rose Larsen
- Wendi-Jo Lewis
All providers in Fort Novosel, AL · Physical Therapy Assistant in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.