Active NPI
Kendal Reddell
- Physical Therapist
- Salem, NH
National Provider Identifier
1720347768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9121
- Practice address
- 2 Keewaydin Dr
Salem, NH 03079-2839 - Phone
- (800) 995-2673
- NPI assigned
- May 11, 2012
- Last updated
- May 11, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9121 | TN | Primary |
Addresses
Primary practice location
2 Keewaydin Dr
Salem, NH 03079-2839
Mailing address
2 Keewaydin Dr
Salem, NH 03079-2839
Phone (800) 995-2673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9121 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balance Therapy of Texas | Physical Therapist | Current | Accepting new patients |
Locations
4601 Spicewood Springs Rd
Bldg 2
Austin, TX 78759
Phone (512) 300-1308
5608 Parkcrest Dr
Ste 100
Austin, TX 78731
Phone (512) 345-4664
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336694400000",
"number": "1720347768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 KEEWAYDIN DR",
"city": "SALEM",
"state": "NH",
"postal_code": "030792839",
"telephone_number": "800-995-2673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 KEEWAYDIN DR",
"city": "SALEM",
"state": "NH",
"postal_code": "030792839",
"telephone_number": "800-995-2673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDELL",
"first_name": "KENDAL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-11",
"last_updated": "2012-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "9121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, NH
- Lauren Rashford, PT
- Joseph Ray, M.D.
- Laurie Ray, LPN
- Lisa Ann Reardon, P.T.
- Recentered Therapy LLC (ReCentered Therapy)
- Jacinto Cajayon Regalado Jr., RN
- Rehab Associates of New England (Merrimack Valley MRI)
- Rehab Associates of New England (Merrimack Valley MRI)
- Raja A Rehman, M.D.
- Samantha Reid, OT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; 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.