Active NPI
Kendra K Williams, PT
- Physical Therapist
- Anthem, AZ
National Provider Identifier
1497724462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-006158
- Practice address
- 41125 N Daisy Mountain Dr
Suite 121
Anthem, AZ 85086-4954 - Phone
- (623) 551-9706
- Fax
- (623) 551-9708
- NPI assigned
- Mar 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 6158 | AZ | |
| Physical Therapist | 225100000X | LPT-006158 | AZ | Primary |
Addresses
Primary practice location
41125 N Daisy Mountain Dr
Suite 121
Anthem, AZ 85086-4954
Mailing address
41125 N Daisy Mountain Dr
Suite 125
Anthem, AZ 85086-4954
Phone (623) 551-9706
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 073398 | Medicaid | AZ |
Other names 1
- Kendra K Short
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756252800000",
"number": "1497724462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41125 N DAISY MOUNTAIN DR",
"address_2": "SUITE 125",
"city": "ANTHEM",
"state": "AZ",
"postal_code": "850864954",
"telephone_number": "623-551-9706",
"fax_number": "623-551-5078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41125 N DAISY MOUNTAIN DR",
"address_2": "SUITE 121",
"city": "ANTHEM",
"state": "AZ",
"postal_code": "850864954",
"telephone_number": "623-551-9706",
"fax_number": "623-551-9708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KENDRA",
"middle_name": "K",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "AZ",
"license": "6158",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-006158",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "073398",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KENDRA",
"last_name": "SHORT",
"middle_name": "K",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Anthem, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.