Michael Arthur Kennedy, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501010807 Issued in MI

Practice address

3196 Monticello LN
Saginaw, MI 48603-4815

Phone

(989) 992-1251

NPI assigned

Jun 16, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1649214768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 DAVENPORT AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486023308",
            "telephone_number": "989-497-6040",
            "fax_number": "989-497-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3196 MONTICELLO LN",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486034815",
            "telephone_number": "989-992-1251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3525 Davenport Ave",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486023308",
            "country_code": "US",
            "telephone_number": "989-497-6040",
            "fax_number": "989-497-6054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "MICHAEL",
        "middle_name": "ARTHUR",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nava Kendall, M.D.
• Samantha Kendall
• Margaret Kenel, OTR
• Brian Lee Kennedy, P.A.
• Keri Ann Kennedy, MSW
• Sarah Kennedy, LMSW
• Bailey Kennelly
• John E Kennelly
• Kenneth W Distler MD PC
• Mary Kenney

• Physical Therapist in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.