Individual provider Active NPI

Kennedy Anderton, DPT

  • Physical Therapist
  • Twin Falls, ID
National Provider Identifier
1497545461
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3171067 Issued in ID
Practice address
243 Cheney Dr W
Twin Falls, ID 83301-3721
Phone
(208) 329-7667
NPI assigned
May 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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 3171067 ID Primary

Addresses

Primary practice location

243 Cheney Dr W
Twin Falls, ID 83301-3721

Mailing address

243 Cheney Dr W
Twin Falls, ID 83301-3721
Phone (208) 329-7667

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250610001937 ID Practitioner - Physical Therapist in Private Practice 1456861343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wright Physical Therapy Limited PartnershipGroup PAC ID 1759612641, 52 clinicians

Practice addresses (Care Compare)

243 Cheney Dr W
Twin Falls, ID 83301-4277
Phone (208) 329-7667

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3171067IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wright Physical Therapy Limited Partnership Physical Therapist CurrentSince Jun 2, 2025 Accepting new patients
Wright Physical Therapy Limited Partnership Physical Therapist CurrentSince Jun 2, 2025 Accepting new patients

Locations

1444 Falls Ave E
Twin Falls, ID 83301
Phone (208) 736-2574

243 Cheney Dr W
Twin Falls, ID 83301
Phone (208) 329-7667

1411 Falls Ave E
Ste 401
Twin Falls, ID 83301
Phone (208) 969-9945

Organizations & group practices 2

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": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1497545461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 CHENEY DR W",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013721",
            "telephone_number": "208-329-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 CHENEY DR W",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013721",
            "telephone_number": "208-329-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERTON",
        "first_name": "KENNEDY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "3171067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; 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.