Kennedy Laine King, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1331928 Issued in TX

Practice address

1221 S Congress Ave Apt 826
Austin, TX 78704-2407

Phone

(614) 905-1243

NPI assigned

Jul 17, 2020

Last updated

Jul 20, 2020By the provider in NPPES

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 TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Austin Physical Therapy Specialists LLC

  • Physical Therapist
  • Austin, TX
  • NPI 1457614810
  Medicare reassignment NPD
• Texas Physical Therapy Specialists, Inc.

  dba Texas Physical Therapy Specialists

  • Physical Therapist
  • New Braunfels, TX
  • NPI 1689781338
  Medicare reassignment NPD
• Texas Physical Therapy Specialists

  • Durable Medical Equipment & Medical Supplies
  • Austin, TX
  • NPI 1568049484
  NPD
• Texas Physical Therapy Specialists

  • Physical Therapy Clinic/Center
  • Austin, TX
  • NPI 1538246798

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1538777214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S CONGRESS AVE APT 826",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787042407",
            "telephone_number": "614-905-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 S CONGRESS AVE APT 826",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787042407",
            "telephone_number": "614-905-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "KENNEDY",
        "middle_name": "LAINE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1331928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Dawn King, D.C.
• Heather Merceir King, MD
• Jan Goodwin King, LCSW
• John D King, EDD
• Kayla Elizabeth King, LCSW
• Madeline King
• Melissa Leigh King, LPC
• Rhea Ann Marie Conlu King, PHARMD
• Richard E. King, D.D.S.
• Sarah King, PT

• Physical Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.