Active NPI
Jodi L Kennedy, D.C.
- Rehabilitation Chiropractor
- Mahopac, NY
National Provider Identifier
1679784649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- X010574-1
- Practice address
- 11 Miller Rd
Mahopac, NY 10541-2219 - Phone
- (845) 628-7233
- Fax
- (845) 628-4549
- NPI assigned
- May 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X010574-1 | NY | |
| Nutrition Chiropractor | 111NN1001X | X010574-1 | NY | |
| Rehabilitation Chiropractor | 111NR0400X | X010574-1 | NY | Primary |
Addresses
Primary practice location
11 Miller Rd
Mahopac, NY 10541-2219
Mailing address
11 Miller Rd
Mahopac, NY 10541-2219
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070814000474 | NY | Practitioner - Chiropractic | 7214028653 | Practice locations: Mahopac, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
11 Miller Rd
Mahopac, NY 10541-2219
Phone (845) 628-7233
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X010574-1 | NY | MD | Nutrition Chiropractor |
| 010574 | NY | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott a. Croce DC PC | Chiropractor | Past | Accepting new patients |
| Buffalo Family Chiropractic Wellness, P.C. | Chiropractor | 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 and National Provider Directory roles.
-
- Chiropractor
- Buffalo, NY
- NPI 1124338074
-
- Chiropractor
- Buffalo, NY
- NPI 1265503098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1679784649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 MILLER RD",
"city": "MAHOPAC",
"state": "NY",
"postal_code": "105412219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 MILLER RD",
"city": "MAHOPAC",
"state": "NY",
"postal_code": "105412219",
"telephone_number": "845-628-7233",
"fax_number": "845-628-4549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "JODI",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X010574-1",
"primary": false
},
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "NY",
"license": "X010574-1",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "NY",
"license": "X010574-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mahopac, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.