Individual provider Active NPI

Kendall James Prowse, DO

  • Physical Medicine & Rehabilitation Physician
  • Hummelstown, PA
National Provider Identifier
1528645751
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
OS024942 Issued in PA
Practice address
1135 Olde W Chocolate Ave
Hummelstown, PA 17036-9188
Phone
(717) 531-7010
Fax
(717) 531-7102
NPI assigned
Mar 25, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X OS024942 PA Primary

Addresses

Primary practice location

1135 Olde W Chocolate Ave
Hummelstown, PA 17036-9188

Mailing address

500 University Drive MC Ca410
Hershey, PA 17033-2360
Phone (717) 531-5208

Other identifiers 1

IdentifierTypeStateIssuer
64501MedicaidNY

Other names 1

  • Kendall Prowse Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250910001256 PA Practitioner - Physical Medicine and Rehabilitation 0446753149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Milton S Hershey Medical Center Physicians GroupGroup PAC ID 3870405483, 1,606 clinicians

Practice addresses (Care Compare)

1135 Olde W Chocolate Ave
Suite 101
Hummelstown, PA 17036-9188
Phone (717) 531-7010

Hospital & facility affiliations

  • Milton S Hershey Medical Center Hospital, Hershey, PA, CCN 390256
  • Penn State Health Rehabilitation Hospital Inpatient rehabilitation facility, Hummelstown, PA, CCN 393053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS024942PAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Milton S Hershey Medical Center Physicians Group Physical Medicine & Rehabilitation CurrentSince Sep 8, 2025 Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Sep 8, 2025 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
The Milton S. Hershey Medical Center Physicians Group Past Accepting new patients

Locations

2200 Good Hope Rd
Enola, PA 17025
Phone (717) 981-8230

500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

1135 Olde W Chocolate Ave
#101
Hummelstown, PA 17036
Phone (717) 531-7010

1135 Olde W Chocolate Ave
Hummelstown, PA 17036
Phone (717) 531-7010

2160 State Rd
Lancaster, PA 17601
Phone (223) 287-8222

Interoperability endpoints

  • Direct secure messaging: kprowse1853098@direct.trinity-health.org
  • Direct secure messaging: kprowse19414@albanymed.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1528645751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY DRIVE MC CA410",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332360",
            "telephone_number": "717-531-5208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 OLDE W CHOCOLATE AVE",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170369188",
            "telephone_number": "717-531-7010",
            "fax_number": "717-531-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROWSE",
        "first_name": "KENDALL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-25",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "OS024942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64501",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDALL",
            "last_name": "PROWSE",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hummelstown, PA

Sources for this page

Verify at the official NPI Registry.