Valerie Gagaza Kennedy, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0012431 Issued in CO

Practice address

835 Tenderfoot Hill Rd
Colorado Springs, CO 80906-3903

Phone

(719) 576-8380

NPI assigned

Dec 6, 2012

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

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": "1354752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354838400000",
    "number": "1780929448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 STEPPING STONES WAY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809042756",
            "telephone_number": "719-231-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 TENDERFOOT HILL RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063903",
            "telephone_number": "719-576-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "VALERIE",
        "middle_name": "GAGAZA",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "0012431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Kennedy, D.C
• Rachel Lynn Kennedy, RDH, BAS
• Robin Kennedy
• Shantelle Kennedy
• Taylor Kennedy
• Wade Alexander Kennedy, DMD
• Emily Morgan Kenner, PSYD
• Lisa Kenner
• Kenneth C. Pollary DDS PLLC
• Kenneth D. Allred, PH.D., P.C.

• Physical Therapy Assistant in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; 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.