Active NPI
Robert Franklin Kennedy, PTA
- Physical Therapy Assistant
- Barboursville, WV
National Provider Identifier
1538549514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 001797
- Practice address
- 6354 US Route 60 E Ste 4
Barboursville, WV 25504-1247 - Phone
- (304) 733-1626
- NPI assigned
- Jun 4, 2015
- Last updated
- Sep 8, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 001797 | WV | Primary |
Addresses
Primary practice location
6354 US Route 60 E Ste 4
Barboursville, WV 25504-1247
Mailing address
143 Mutual Dr
Wayne, WV 25570-5846
Phone (304) 939-0279
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stonerise Reliable Healthcare LLC | Past | Accepting new patients | |
| Stonerise Reliable Healthcare LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Stonerise Home Health
- Home Health Agency
- Barboursville, WV
- NPI 1194244590
-
dba Stonerise Home Health St. Clairsville
- Home Health Agency
- Saint Clairsville, OH
- NPI 1487172649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694131200000",
"number": "1538549514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 MUTUAL DR",
"city": "WAYNE",
"state": "WV",
"postal_code": "255705846",
"telephone_number": "304-939-0279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6354 US ROUTE 60 E STE 4",
"city": "BARBOURSVILLE",
"state": "WV",
"postal_code": "255041247",
"telephone_number": "304-733-1626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "ROBERT",
"middle_name": "FRANKLIN",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-04",
"last_updated": "2023-09-08",
"certification_date": "2023-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WV",
"license": "001797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Barboursville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.