Active NPI
Kimberly Ann Kennedy, PT, DPT, CLT-LANA
- Orthopedic Physical Therapist
- Belton, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 1373612
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1373612 | TX | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Functional Wellness Inc | Current | Accepting new patients | |
| Bellah Therapies LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Harker Heights, TX
- NPI 1790157964
-
- Physical Therapy Clinic/Center
- Belton, TX
- NPI 1518852540
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.