Individual provider Active NPI

Kimberly Ann Kennedy, PT, DPT, CLT-LANA

  • Orthopedic Physical Therapist
  • Belton, TX
National Provider Identifier
1699540286
Registry record updated May 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1373612 Issued in TX
Practice address
1609 Mountain View LN
Belton, TX 76513-4886
Phone
(254) 444-3603
Fax
(254) 522-7968
NPI assigned
Nov 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1373612 TX
Orthopedic Physical Therapist 2251X0800X 1373612 TX Primary

Addresses

Primary practice location

1609 Mountain View LN
Belton, TX 76513-4886

Mailing address

1609 Mountain View LN
Belton, TX 76513-4886
Phone (254) 444-3603

Other practice location 1

1200 E Fm 2410 Rd Ste D
Harker Heights, TX 76548-6898
Phone (254) 394-2710

Other practice location 2

2401 S 31st Street Temple Tx 76508
Temple, TX 76508-0001
Phone (800) 792-3710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240722000027 TX Practitioner - Physical Therapist in Private Practice 3870039399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellah Therapies LLCGroup PAC ID 3072817873, 9 clinicians

Practice addresses (Care Compare)

581 Pan American Dr
Suite 3
Harker Heights, TX 76548-1960
Phone (254) 394-2710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1373612TXMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Functional Wellness Inc Current Accepting new patients
Bellah Therapies LLC Physical Therapist CurrentSince Jul 2, 2024 Accepting new patients

Locations

581 Pan American Dr
Ste 3
Harker Heights, TX 76548
Phone (254) 394-2710

1200 E FM 2410 Rd
Ste D
Harker Heights, TX 76548
Phone (254) 394-2710

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.

NPI Registry JSON

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

{
    "created_epoch": "1700784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748217600000",
    "number": "1699540286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 MOUNTAIN VIEW LN",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765134886",
            "telephone_number": "254-444-3603",
            "fax_number": "254-522-7968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 MOUNTAIN VIEW LN",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765134886",
            "telephone_number": "254-444-3603",
            "fax_number": "254-522-7968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 E Fm 2410 Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Harker Heights",
            "state": "TX",
            "postal_code": "765486898",
            "country_code": "US",
            "telephone_number": "254-394-2710",
            "fax_number": "254-307-9700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2401 S 31st Street Temple Tx 76508",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765080001",
            "country_code": "US",
            "telephone_number": "800-792-3710",
            "fax_number": "254-724-8034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "PT, DPT, CLT-LANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-24",
        "last_updated": "2025-05-26",
        "certification_date": "2025-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1373612",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1373612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.

Verify at the official NPI Registry.