Active NPI
Elizabeth Brownlee Kennedy, DPT
- Physical Therapist
- Overland Park, KS
National Provider Identifier
1811320104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1104673
- Practice address
- 6400 Glenwood St
Building 4 Suite 111
Overland Park, KS 66202-4028 - Phone
- (913) 831-2721
- NPI assigned
- Aug 9, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1104673 | KS | Primary |
Addresses
Primary practice location
6400 Glenwood St
Building 4 Suite 111
Overland Park, KS 66202-4028
Mailing address
6400 Glenwood St
Building 4 Suite 111
Overland Park, KS 66202-4028
Phone (913) 831-2721
Other practice location 1
7380 W Sand Lake Rd Ste 500
Orlando, FL 32819-5257
Phone (407) 905-9300
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1104673 | KS | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1811320104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 GLENWOOD ST",
"address_2": "BUILDING 4 SUITE 111",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662024028",
"telephone_number": "913-831-2721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 GLENWOOD ST",
"address_2": "BUILDING 4 SUITE 111",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662024028",
"telephone_number": "913-831-2721"
}
],
"practiceLocations": [
{
"address_1": "7380 W Sand Lake Rd Ste 500",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328195257",
"country_code": "US",
"telephone_number": "407-905-9300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENNEDY",
"first_name": "ELIZABETH",
"middle_name": "BROWNLEE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-09",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "1104673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.