Active NPI
Anne A Kenny, PT
- Physical Therapist
- Port Saint Joe, FL
National Provider Identifier
1659719102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT7194
- Practice address
- 3871 E Highway 98
Suite 100
Port Saint Joe, FL 32456-5301 - Phone
- (850) 227-7778
- Fax
- (850) 227-7999
- NPI assigned
- Jun 6, 2013
- Last updated
- Jun 6, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT7194 | FL | Primary |
Addresses
Primary practice location
3871 E Highway 98
Suite 100
Port Saint Joe, FL 32456-5301
Mailing address
PO Box 2699
Pensacola, FL 32513-2699
Phone (850) 475-4500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT7194 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Sacred Heart Gulf | Past | Accepting new patients | |
| Ascension Sacred Heart Gulf | Past | Accepting new patients |
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.
-
dba Ascension Medical Group Sacred Heart Gulf
- Family Medicine Physician
- Pensacola, FL
- NPI 1528336302
-
dba Ascension Medical Group Sacred Heart Gulf
- Rural Health Clinic/Center
- Port St Joe, FL
- NPI 1912466194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370476800000",
"number": "1659719102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2699",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325132699",
"telephone_number": "850-475-4500",
"fax_number": "850-227-7999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3871 E HIGHWAY 98",
"address_2": "SUITE 100",
"city": "PORT SAINT JOE",
"state": "FL",
"postal_code": "324565301",
"telephone_number": "850-227-7778",
"fax_number": "850-227-7999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNY",
"first_name": "ANNE",
"middle_name": "A",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-06",
"last_updated": "2013-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT7194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Saint Joe, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.