Individual provider Active NPI

Christina Kennaday, DPT

  • Physical Therapist
  • San Jose, CA
National Provider Identifier
1801002407
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT18940 Issued in CA
Practice address
1530 Meridian Ave Ste 150
San Jose, CA 95125-5352
Phone
(408) 606-7951
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 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 PT18940 CA Primary

Addresses

Primary practice location

1530 Meridian Ave Ste 150
San Jose, CA 95125-5352

Mailing address

2145 The Alameda
San Jose, CA 95126-1141
Phone (408) 248-6886

Other identifiers 1

IdentifierTypeStateIssuer
PT18940OtherCASTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160912001768 CA Practitioner - Physical Therapist in Private Practice 9436445855 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
More Physical Therapy IncGroup PAC ID 5294783122, 51 clinicians

Practice addresses (Care Compare)

1530 Meridian Ave
Suite 150
San Jose, CA 95125-5352
Phone (408) 606-7951

Merit-based Incentive Payment System (MIPS)

Final score
68.04 of 100Reported as group
Quality
55.97
Improvement activities
40
Cost
74.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT18940CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
More Physical Therapy, Inc. Physical Therapist CurrentSince Jun 22, 2024 Accepting new patients
California Emergency Physicians CurrentSince May 4, 2022 Accepting new patients

Locations

1633 Old Bayshore Hwy
Ste 145
Burlingame, CA 94010
Phone (650) 239-9075

1580 S Winchester Blvd
Ste 202
Campbell, CA 95008
Phone (408) 364-7600

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1530 Meridian Ave
Ste 150
San Jose, CA 95125
Phone (408) 606-7951

2145 The Alameda
San Jose, CA 95126
Phone (408) 248-6886

554 Blossom Hill Rd
San Jose, CA 95123
Phone (408) 281-2772

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1801002407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 THE ALAMEDA",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951261141",
            "telephone_number": "408-248-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 MERIDIAN AVE STE 150",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255352",
            "telephone_number": "408-606-7951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNADAY",
        "first_name": "CHRISTINA",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT18940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PT18940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.