Katherine Kennedy, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

7712 Issued in AZ

Practice address

1076 W Chandler Blvd
Ste 103
Chandler, AZ 85224-5225

Phone

(480) 821-1997

Fax

(480) 821-1887

NPI assigned

Jul 9, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

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": "1183939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1649478991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 S ALMA SCHOOL RD",
            "address_2": "STE 5",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852867081",
            "telephone_number": "480-782-5211",
            "fax_number": "480-782-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 W CHANDLER BLVD",
            "address_2": "STE 103",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245225",
            "telephone_number": "480-821-1997",
            "fax_number": "480-821-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "KATHERINE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "7712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baylee Rose Kempiak
• Kempton and Nelson Therapy Clinics
• Shelbi Kendrick, LCSW
• Brian Joseph Kennedy, DDS
• Cori D'Anne Kennedy, NMD
• Zachary William Kennedy, PHARMD
• Kathryn Kennelly, OTR/L
• Kenneth L Pettit DO LLC (Comprehensive Family Care)
• Kent Johansen, DDS, PLC
• Stephen Kenworthy, D.C.

• Specialist in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.