Amber Lee Kenney, MPT, MTC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

15920 Issued in FL

Practice address

100 Executive Way
Suite #109
Ponte Vedra, FL 32082-2715

Phone

(904) 543-9011

Fax

(904) 543-1390

NPI assigned

Aug 15, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1528071909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13019 RIVER SPRINGS WAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322248506",
            "telephone_number": "904-219-7881",
            "fax_number": "904-543-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EXECUTIVE WAY",
            "address_2": "SUITE #109",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320822715",
            "telephone_number": "904-543-9011",
            "fax_number": "904-543-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEY",
        "first_name": "AMBER",
        "middle_name": "LEE",
        "credential": "MPT, MTC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "15920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AA175",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00382647",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna Kay, DPT
• Keel Spine & Performance, PLLC
• Amelia Lee Kellar, OTD, OTR/L
• Brittany Buchanan Kelly, APRN
• Kimberly E Kennell, MS, CCC-SLP
• Michael William Kessler, DDS
• Jennifer Keyworth
• Arif Salah Kidwai, MD
• Urian Kim, MD
• King Therapy Solutions LLC

• Physical Therapist in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.