Individual provider Active NPI

Kennedy Howard, DPT

  • Orthopedic Physical Therapist
  • Wilsonville, OR
National Provider Identifier
1831021856
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
66121 Issued in OR
Practice address
29174 SW Town Center Loop W Ste 202
Wilsonville, OR 97070-9309
Phone
(503) 582-8033
Fax
(503) 855-3191
NPI assigned
Jun 2, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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 66121 OR Primary

Addresses

Primary practice location

29174 SW Town Center Loop W Ste 202
Wilsonville, OR 97070-9309

Mailing address

29174 SW Town Center Loop W Ste 202
Wilsonville, OR 97070-9309
Phone (503) 582-8033

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
66121ORMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Boones Landing Physical Therapy LLC Orthopedic PastSince Aug 7, 2018 Accepting new patients

Organizations & group practices 1

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": "1780358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1831021856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29174 SW TOWN CENTER LOOP W STE 202",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709309",
            "telephone_number": "503-582-8033",
            "fax_number": "503-855-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29174 SW TOWN CENTER LOOP W STE 202",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709309",
            "telephone_number": "503-582-8033",
            "fax_number": "503-855-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "KENNEDY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-02",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "66121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilsonville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.