Individual provider Active NPI

Kevin Kearney, DPT

  • Physical Therapist
  • Baton Rouge, LA
National Provider Identifier
1750709218
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
08605 Issued in LA
Practice address
11320 Industriplex Blvd
Baton Rouge, LA 70809-4108
Phone
(225) 295-8183
Fax
(225) 295-8236
NPI assigned
Apr 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 08605 LA Primary

Addresses

Primary practice location

11320 Industriplex Blvd
Baton Rouge, LA 70809-4108

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210303003407 IN Practitioner - Physical Therapist in Private Practice 3173747649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.3 of 100Reported as group
Quality
88.48
Improvement activities
40
Cost
72.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08605LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Mar 1, 2021 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Mar 1, 2021 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

822 S Auto Mall Rd
Bloomington, IN 47401
Phone (812) 668-1781

4265 N Cypress Ln
Bloomington, IN 47404
Phone (812) 727-0047

2488 S Walnut St
Bloomington, IN 47401
Phone (812) 287-8044

1312 W Arch Haven Ave
Ste E
Bloomington, IN 47403
Phone (812) 336-8406

2467 W Jonathan Moore Pike
Columbus, IN 47201
Phone (812) 314-7013

1675 N National Rd
Ste D
Columbus, IN 47201
Phone (812) 799-1257

1675 N National Rd
Columbus, IN 47201
Phone (812) 799-1257

120 W Smith Valley Rd
Ste C
Greenwood, IN 46142
Phone (317) 807-0223

4950 E Stop 11 Rd
Ste B
Indianapolis, IN 46237
Phone (317) 859-5857

4625 S Emerson Ave
Indianapolis, IN 46203
Phone (317) 522-2303

6920 Gatwick Dr
Ste 120
Indianapolis, IN 46241
Phone (317) 856-1162

5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579

369 Grand Valley Blvd
Martinsville, IN 46151
Phone (765) 349-9255

200 S Obrien St
Seymour, IN 47274
Phone (812) 522-9574

5399 S US Highway 41
Ste 113
Terre Haute, IN 47802
Phone (812) 298-8883

5506 E New Margaret Dr
Terre Haute, IN 47803
Phone (812) 645-2329

3177 S 3rd Pl
Terre Haute, IN 47802
Phone (812) 238-3600

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": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1750709218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11320 INDUSTRIPLEX BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708094108",
            "telephone_number": "225-295-8183",
            "fax_number": "225-295-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARNEY",
        "first_name": "KEVIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-02",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "08605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.