Individual provider Active NPI

Caroline Kennedy, PT, DPT

  • Physical Therapist
  • Brentwood, TN
National Provider Identifier
1831674100
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12975 Issued in TN
Practice address
6716 Nolensville Rd Ste 260
Brentwood, TN 37027-8866
Phone
(615) 283-8109
Fax
(615) 283-8743
NPI assigned
Oct 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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 12975 TN Primary

Addresses

Primary practice location

6716 Nolensville Rd Ste 260
Brentwood, TN 37027-8866

Mailing address

PO Box 681478
Franklin, TN 37068-1478
Phone (615) 591-6590

Other identifiers 1

IdentifierTypeStateIssuer
0446631MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200722003133 TN Practitioner - Physical Therapist in Private Practice 4587088612 Reassigns benefits to 1 organization
I20230421001411 CT Practitioner - Physical Therapist in Private Practice 4587088612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic and Neurosurgery Specialists, PLLCGroup PAC ID 5294628947, 255 clinicians

Practice addresses (Care Compare)

5 High Ridge Park
FL 3
Stamford, CT 06905-1326
Phone (860) 347-7636

Merit-based Incentive Payment System (MIPS)

Final score
84.22 of 100Reported as group
Quality
82.55
Promoting interoperability
100
Improvement activities
40
Cost
64.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic & Neurosurgery Specialists, PLLC CurrentSince Jan 18, 2023 Accepting new patients
Orthopaedic & Neurosurgery Specialists, PLLC Physical Therapist CurrentSince Jan 18, 2023 Accepting new patients
Agilitas USA Inc Physical Therapist Current Accepting new patients
Agilitas USA, Inc CurrentSince Aug 10, 2020 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Aug 10, 2020 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

6 Greenwich Office Park
Greenwich, CT 06831
Phone (203) 869-1145

5 High Ridge Park
Fl 3
Stamford, CT 06905
Phone (203) 869-1145

249 Danbury Rd
Wilton, CT 06897
Phone (203) 762-3353

900 Conference Dr
Ste 3B
Goodlettsville, TN 37072
Phone (615) 550-0000

3493 Veterans Dr N
Ste D
Huntingdon, TN 38344
Phone (731) 209-4444

1420 W Baddour Pkwy
Ste 120
Lebanon, TN 37087
Phone (615) 443-9036

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

Organizations & group practices 5

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": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1831674100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681478",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370681478",
            "telephone_number": "615-591-6590",
            "fax_number": "615-591-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6716 NOLENSVILLE RD STE 260",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278866",
            "telephone_number": "615-283-8109",
            "fax_number": "615-283-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "CAROLINE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "12975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0446631",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; 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.