Individual provider Active NPI

Laura Kennedy-Rynne, DPT

  • Orthopedic Physical Therapist
  • Berwyn, PA
National Provider Identifier
1780060681
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT024562 Issued in PA
Practice address
1175 Lancaster Ave
First Floor
Berwyn, PA 19312-1297
Phone
(610) 651-8282
Fax
(610) 651-8213
NPI assigned
Aug 3, 2015
Last updated
Aug 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT024562 PA Primary

Addresses

Primary practice location

1175 Lancaster Ave
First Floor
Berwyn, PA 19312-1297

Mailing address

120 W Germantown Pike
Suite 100
Plymouth Meeting, PA 19462-1420
Phone (610) 270-0370

Other names 1

  • Miss Laura Kennedy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT024562PAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elkins Park Physical Therapy LLC Orthopedic CurrentSince Nov 1, 2021 Accepting new patients
Progress Physical Therapy LLC Orthopedic CurrentSince Oct 2, 2017 Accepting new patients
Novacare Outpatient Rehabilitation East Inc CurrentSince Oct 1, 2023 Accepting new patients
Novacare Outpatient Rehabilitation East, Inc. Orthopedic Current Accepting new patients
Montgomery County Rehabilitation & Sports Therapy, P.C. Orthopedic CurrentSince Jul 1, 2026 Accepting new patients
Novacare Outpatient Rehabilitation East, Inc. CurrentSince Oct 1, 2023 Accepting new patients

Locations

125 Yorktown Plz
Elkins Park, PA 19027
Phone (215) 260-4026

101 Applied Bank Blvd
Ste D4
Glen Mills, PA 19342
Phone (610) 459-2731

Organizations & group practices 6

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": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1780060681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W GERMANTOWN PIKE",
            "address_2": "SUITE 100",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621420",
            "telephone_number": "610-270-0370",
            "fax_number": "610-270-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 LANCASTER AVE",
            "address_2": "FIRST FLOOR",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121297",
            "telephone_number": "610-651-8282",
            "fax_number": "610-651-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY-RYNNE",
        "first_name": "LAURA",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT024562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "KENNEDY",
            "prefix": "MISS",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Berwyn, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.