Spark Motion PT LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SPARK MOTION PT LLC

Practice address

6200 Utah Ave NW
Washington, DC 20015-2432

Phone

(240) 460-8983

NPI assigned

Nov 6, 2013

Organization subpart

No

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

Authorized official

Name

Kathryn Kennelly

Title

Owner

Phone

(202) 285-7849

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick Kennelly, PT

  • Physical Therapist
  • Bethesda, MD
  • NPI 1073619532

  DC, Specialist

  Medicare reassignment NPD

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1649609017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 UTAH AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152432",
            "telephone_number": "240-460-8983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 UTAH AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152432",
            "telephone_number": "240-460-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARK MOTION PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "KENNELLY",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-285-7849"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harold Renard Spann
• Herbert Matthew Spann, DDS
• Erin Sparapani, PH.D.
• Robin E Sparer, LICSW,LCSW-C
• Olivia Sparg, MA, BCBA
• Jade Marie Sparkman
• Destini Monay Sparks
• Racquel Sparks
• Sarah Ann Sparks, AUD
• Tahera Sparks

• Physical Therapist in Washington, DC
• Providers in Washington, DC by specialty
• Physical Therapist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.