Individual provider Active NPI

Kendyl E Holmes, PT

  • Physical Therapist
  • Torrington, CT
National Provider Identifier
1558660571
Registry record updated Nov 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
008987 Issued in CT
Practice address
245 Alvord Park Rd
Torrington, CT 06790-3493
Phone
(860) 482-8539
Fax
(860) 482-0258
NPI assigned
Mar 16, 2011
Last updated
Nov 30, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 008987 CT Primary

Addresses

Primary practice location

245 Alvord Park Rd
Torrington, CT 06790-3493

Mailing address

245 Alvord Park Rd
Torrington, CT 06790-3493
Phone (860) 482-8539

Other identifiers 1

IdentifierTypeStateIssuer
D400073754OtherCTMEDICARE NGS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111214000661 CT Practitioner - Physical Therapist in Private Practice 4587839816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

245 Alvord Park Rd
Torrington, CT 06790-3493
Phone (860) 482-8539

Merit-based Incentive Payment System (MIPS)

Final score
91.08 of 100Reported as group
Quality
88.65
Promoting interoperability
93
Improvement activities
40
Cost
79.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Litchfield Hills Orthopedic Associates, LLP Physical Therapist CurrentSince Nov 18, 2013 Accepting new patients
Litchfield Hills Orthopedic Associates, LLP Physical Therapist CurrentSince Nov 18, 2013 Accepting new patients

Locations

281 N Main St
Bristol, CT 06010
Phone (860) 582-0822

245 Alvord Park Rd
Torrington, CT 06790
Phone (860) 482-8539

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17041/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/AJCADD

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.

NPI Registry JSON

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417305600000",
    "number": "1558660571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 ALVORD PARK RD",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903493",
            "telephone_number": "860-482-8539",
            "fax_number": "860-482-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 ALVORD PARK RD",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903493",
            "telephone_number": "860-482-8539",
            "fax_number": "860-482-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "KENDYL",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-16",
        "last_updated": "2014-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "008987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NGS",
            "identifier": "D400073754",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2014; 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.

Verify at the official NPI Registry.