Vanessa Marie Kennedy, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT871332 Issued in DC

Practice address

1731 Bunker Hill Rd NE
Washington, DC 20017-3026

Phone

(202) 635-5756

NPI assigned

Nov 25, 2019

Last updated

Nov 25, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Vanessa Marie Kennedy Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1760028732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 BUDD WAY",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223102205",
            "telephone_number": "508-633-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 BUNKER HILL RD NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200173026",
            "telephone_number": "202-635-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "VANESSA",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-25",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "DC",
            "license": "PT871332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "KENNEDY",
            "middle_name": "MARIE",
            "credential": "PT, DPT, NCS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Muriel Kennedy, PH.D.
• Philip Michael Kennedy, PT, DPT
• Richard Kennedy, M.D.
• Smylla Kennedy
• Tashica Kennedy
• Mayamu Kenneh, HHA
• Bernadette Kenner
• Dawn Kenner
• Joshua Kenner
• Kenneth L. McCoy & Associates

• Pediatric Physical Therapist in Washington, DC
• Providers in Washington, DC by specialty
• Pediatric Physical Therapist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.