Ashley Kennedy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

292081 Issued in CA

Practice address

23615 Tarara Dr
Moreno Valley, CA 92557-3956

Phone

(951) 961-9878

NPI assigned

Jan 16, 2024

Sex

Female

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

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166
  Medicare reassignment NPD

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1528829652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23615 TARARA DR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925573956",
            "telephone_number": "951-961-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23615 TARARA DR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925573956",
            "telephone_number": "951-961-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "ASHLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "292081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabella Keller
• Tesia Leane Kelley, M.S.
• Deandra Cassandra Kellman
• Kelly Miranda Physician Assistant Inc.
• Christine Nicole Kendrick, CADC II
• Ronald Norman Kent, MD
• Keri MV Dental Group, a Professional Corporation
• Keshawan Sampath Inc.
• Meghana Kethireddy, DO
• Bakr Khalifa Al Omrani, M.D.

• Physical Therapist in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.