Alexis Kendrick

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501018155 Issued in MI

Practice address

1525 E Beltline Ave NE Ste 203
Grand Rapids, MI 49525

Phone

(616) 734-0900

Fax

(616) 734-0890

NPI assigned

Mar 16, 2018

Last updated

May 31, 2018By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1841793684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6495 MCCORDS AVE SE",
            "city": "ALTO",
            "state": "MI",
            "postal_code": "493029108",
            "telephone_number": "706-325-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 E BELTLINE AVE NE STE 203",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49525",
            "telephone_number": "616-734-0900",
            "fax_number": "616-734-0890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 E North St",
            "address_purpose": "LOCATION",
            "city": "Hastings",
            "state": "MI",
            "postal_code": "490581026",
            "country_code": "US",
            "telephone_number": "269-945-9564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENDRICK",
        "first_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-16",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamad Ali Kenaan, M.D.
• Audrey Camille Kendall, LLMSW
• Bridget Abigail Kendall
• Kenyon S Kendall, D.O.
• Ross Kendall, MD
• Dawn K Kennedy Murray
• Deborah Kennedy-Kuiper, LMSW
• Amber Christine Kennedy
• Anna Rose Kennedy I, N/A
• Brenna Kennedy

• Physical Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.

Verify at the official NPI Registry.