Taresa Lynn Kenens, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 7027 Issued in CO

Practice address

4105 Briargate Pkwy
Suite 255
Colorado Springs, CO 80920-3480

Phone

(719) 282-2320

Fax

(719) 282-2330

NPI assigned

Dec 14, 2005

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

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Synergy Manual Physical Therapy, PCGroup PAC ID 4688711351, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Synergy Manual Physical Therapy, PC

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1902032998
  Medicare reassignment Care Compare group NPD
• Synergy Manual Physical Therapy PC

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1790193159
  NPD

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285200000000",
    "number": "1801871751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 BRIARGATE PKWY",
            "address_2": "SUITE 255",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203480",
            "telephone_number": "719-282-2320",
            "fax_number": "719-282-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 BRIARGATE PKWY",
            "address_2": "SUITE 255",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203480",
            "telephone_number": "719-282-2320",
            "fax_number": "719-282-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENENS",
        "first_name": "TARESA",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2010-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PT 7027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall Weber, PHD, LLC
• David Matthew Kendall, PT, DPT
• Jolene Kendall, PHARMD
• Ralph Talbot Kendall, M.D
• Wendy Kendall, LCSW
• Edward P. Keneski, M.A. CCC-SLP
• Kenna Nursing Services LLC
• Lynn A. Kennedy-Baxter, LMFT
• Alison Kennedy, PSYD.
• Arlette Marie-Claire Kennedy, PT

• Physical Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; 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.