Kenton A Kennedy, PTA

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA108178 Issued in FL

Practice address

14910 Main St
Alachua, FL 32615-8591

Phone

(386) 462-0940

NPI assigned

Dec 29, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1548590383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 NW 29TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326092962",
            "telephone_number": "352-271-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14910 MAIN ST",
            "city": "ALACHUA",
            "state": "FL",
            "postal_code": "326158591",
            "telephone_number": "386-462-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "KENTON",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-29",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA108178",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA21967",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Jenkins
• Verneka Jenkins
• Lawrence Jertberg, L.M.T.
• Un Hee Jo, RPH
• Patricia Turlington Kaswinkel, CCC-SLP
• Kate Kieszek
• Spencer King
• Justin Michael Knowles, PHARMD
• Lauren Michelle Koskotas, PHARMD
• Dawn M Lacysmith, CSFA

• Massage Therapist in Alachua, FL
• Providers in Alachua, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.