Active NPI
Caroline Kennedy, PT, DPT
- Physical Therapist
- Brentwood, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12975
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0446631 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, CT
Enrollment records 2
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
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 100
- Quality
- 82.55
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 64.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic & Neurosurgery Specialists, PLLC | Current | Accepting new patients | |
| Orthopaedic & Neurosurgery Specialists, PLLC | Physical Therapist | Current | Accepting new patients |
| Agilitas USA Inc | Physical Therapist | Current | Accepting new patients |
| Agilitas USA, Inc | Current | Accepting new patients | |
| Agilitas USA, Inc | Physical Therapist | Current | 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.
-
- Orthopaedic Surgery Physician
- Greenwich, CT
- NPI 1033318720
Physical Therapist
-
- Physical Therapy Clinic/Center
- Memphis, TN
- NPI 1649434994
-
- Orthopaedic Surgery Physician
- Newington, CT
- NPI 1043086531
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.