Active NPI
Cailyn Kennedy
- Physical Therapist
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-32811
- Practice address
- 2103 W Parkside LN Ste 103
Phoenix, AZ 85027-1245 - Phone
- (602) 675-0325
- NPI assigned
- Feb 16, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | LPT-32811 | AZ | Primary |
Addresses
Primary practice location
2103 W Parkside LN Ste 103
Phoenix, AZ 85027-1245
Mailing address
2103 W Parkside LN Ste 103
Phoenix, AZ 85027-1245
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4295 Gesner St
Suite 3C1
San Diego, CA 92117-6605
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benchmark Physical Therapy of NC, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy of North Carolina LLC | Physical Therapist | Current | Accepting new patients |
| The Physio Fix, PLLC | Physical Therapist | Current | Accepting new patients |
| Foothills Sports Medicine & Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Foothills Sports Medicine & Rehabilitation, LLC | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
19420 N 59th Ave
Ste H830
Glendale, AZ 85308
Phone (623) 302-9020
6788 S Kings Ranch Rd
Ste 4
Gold Canyon, AZ 85118
Phone (480) 982-1909
2103 W Parkside Ln
Ste 103
Phoenix, AZ 85027
Phone (602) 675-0325
15410 S Mountain Pkwy
Ste 112
Phoenix, AZ 85044
Phone (480) 609-0822
3305 N Swan Rd
Ste 115
Tucson, AZ 85712
Phone (520) 321-0204
2230 Park Rd
Ste 104
Charlotte, NC 28203
Phone (704) 919-1280
10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894
Organizations & group practices 6
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.
-
dba No Limit Physical Therapy
- Physical Therapy Clinic/Center
- San Diego, CA
- NPI 1851063085
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1073224267
-
- Physical Therapist
- Phoenix, AZ
- NPI 1558318170
-
- Physical Therapist
- Leland, NC
- NPI 1588189112
-
- Physical Therapist
- Ooltewah, TN
- NPI 1356894604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1548915762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2103 W PARKSIDE LN STE 103",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850271245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2103 W PARKSIDE LN STE 103",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850271245",
"telephone_number": "602-675-0325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "CAILYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-16",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-32811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.