Joshua Douglas Kennedy, P1 60159931

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

P1 60159931 Issued in WA

Practice address

1500 3Rd Ave
Longview, WA 98632-3229

Phone

(360) 353-9046

NPI assigned

Jan 10, 2013

Last updated

Jan 10, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1487991428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CARRIAGE CT",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986261891",
            "telephone_number": "360-423-3582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 3RD AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323229",
            "telephone_number": "360-353-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "JOSHUA",
        "middle_name": "DOUGLAS",
        "credential": "P1 60159931",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-10",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P1 60159931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Kelley
• Marilyn Epstein Kellogg, PT
• Jennifer Renee Kelly, PA
• Tammy Rose Kelly, M.D.
• Christie Kemp
• Jordyn Nicole Kenneway
• Darryl T Kent, RPT
• Allison Keranen
• Megan E Kern
• Bryan Kerr, C.D.P.

• Physical Therapy Assistant in Longview, WA
• Providers in Longview, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.